Individual
MRS. LAURIE CHRISTENSEN NISSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Contact information
Practice address
321 N MALL DR, SUITE I 102, ST GEORGE, UT 84790-7302
(435) 862-8814
(435) 628-1078
Mailing address
PO BOX 805, WASHINGTON, UT 84780-0805
(435) 862-8814
(435) 628-1078
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
117864-3501
UT
Other
Enumeration date
05/16/2007
Last updated
07/08/2007
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