Individual
NICOLE IRENE MCRAE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSW, ASUDC
Contact information
Practice address
1425 S 700 E STE 102, SALT LAKE CITY, UT 84105-2125
(385) 313-0055
Mailing address
1425 S 700 E STE 102, SALT LAKE CITY, UT 84105-2125
(385) 313-0055
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
11608615-3502
UT
Other
Enumeration date
06/27/2022
Last updated
06/27/2022
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