Individual
NICOLE LEGARRETA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
500 FOOTHILL BLVD, SALT LAKE CITY, UT 84148-0001
(801) 582-1565
Mailing address
6624 W TERRACE WASH LN, WEST JORDAN, UT 84081-4181
(801) 638-8954
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
8725149-3501
UT
Other
Enumeration date
11/30/2018
Last updated
11/30/2018
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