Organization
NICOLE K KORMAN PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE KORMAN LCSW (OWNER/OPERATOR)
(801) 739-3754
Entity
Organization
Contact information
Practice address
7105 S HIGHLAND DR STE 101, COTTONWOOD HEIGHTS, UT 84121-7314
(801) 739-3754
Mailing address
7105 S HIGHLAND DR STE 101, COTTONWOOD HEIGHTS, UT 84121-7314
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
10/24/2014
Last updated
10/24/2014
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