Individual
NICOLE BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
246 E 1260 N, LOGAN, UT 84341-7501
(435) 750-6300
Mailing address
338 W 300 N, HYDE PARK, UT 84318-4044
(435) 774-4113
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
12886205-3502
UT
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
04/27/2023
Last updated
09/26/2024
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