Individual
NICHOLE CONRAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2220 E MURRAY HOLLADAY RD APT 157, HOLLADAY, UT 84117-5317
(801) 137-3476
Mailing address
831 S 4050 W, SYRACUSE, UT 84075-7224
(801) 471-8155
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
9798533-3501
UT
Other
Enumeration date
08/10/2015
Last updated
07/12/2022
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