Individual
MICHELLE NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5255 S 4015 W, #207 A-B, TAYLORSVILLE, UT 84129-4257
(801) 680-3255
Mailing address
5255 S 4015 W, #207 A-B, TAYLORSVILLE, UT 84129-4257
(801) 680-3255
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
347531-3501
UT
Other
Enumeration date
10/05/2010
Last updated
09/20/2016
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