Individual
STEPHANIE NIELSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6013 S REDWOOD RD, TAYLORSVILLE, UT 84123-5220
(801) 255-5131
Mailing address
6013 S REDWOOD RD, TAYLORSVILLE, UT 84123-5220
(801) 255-5131
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
8813544-3502
UT
1041S0200X
School Social Worker
LCSW-21598
AZ
Other
Enumeration date
07/06/2020
Last updated
11/03/2023
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