Individual
MELISSA SUE NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
950 SOUTH 663 WEST, BRIGHAM CITY, UT 84302-2400
(435) 257-2168
Mailing address
90 E 200 N, LOGAN, UT 84321-4034
(435) 752-0750
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
8957395-3502
UT
Other
Enumeration date
05/30/2012
Last updated
07/02/2014
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