Individual
MS. LISA NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
145 E 1300 S, SUITE 501, SALT LAKE CITY, UT 84115-5482
(385) 468-3498
(385) 468-3560
Mailing address
145 E 1300 S, SUITE 501, SALT LAKE CITY, UT 84115-5482
(385) 468-3498
(385) 468-3560
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4964977-3501
UT
Other
Enumeration date
05/24/2013
Last updated
05/24/2013
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