Individual
ALLYSE KATHRYN NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
655 E 1300 N, LOGAN, UT 84341-2570
(435) 792-6500
Mailing address
3025 W 75 N, LAYTON, UT 84041-5747
(801) 513-9953
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
L17596
OR
Other
Enumeration date
11/02/2017
Last updated
05/13/2026
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