Individual
KYRIAN NIELSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSW
Contact information
Practice address
600 S GENEVA RD, VINEYARD, UT 84059-5803
(801) 877-5300
Mailing address
600 S GENEVA RD, VINEYARD, UT 84059-5803
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1833523-3502
UT
Other
Enumeration date
10/19/2020
Last updated
10/19/2020
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