Individual
NICOLE CAMPOLUCCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
450 S 900 E, SUITE 300, SALT LAKE CITY, UT 84102-2981
(801) 534-7912
(801) 532-3608
Mailing address
4460 S HIGHLAND DR STE 210, SALT LAKE CITY, UT 84124-3550
(888) 949-4864
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
364989-3501
UT
Other
Enumeration date
11/04/2010
Last updated
01/14/2020
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