Individual
MELISSA SUE NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
338 W 300 N, HYDE PARK, UT 84318-4044
(435) 774-4113
(435) 535-3197
Mailing address
338 W 300 N, HYDE PARK, UT 84318-4044
(435) 774-4113
(435) 535-3197
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
8957395-3502
UT
Other
Enumeration date
05/30/2012
Last updated
07/01/2026
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