Individual
MR. NEWEL IVAN NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.C.S.W.
Contact information
Practice address
3565 LEXINGTON DR, BOUNTIFUL, UT 84010-5803
(801) 580-5823
Mailing address
3565 LEXINGTON DR, BOUNTIFUL, UT 84010-5803
(801) 580-5823
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4918394-3501
UT
Other
Enumeration date
06/20/2012
Last updated
06/20/2012
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