Individual
DOUGLAS NIELSEN RICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
400 D ST STE 206, SALT LAKE CITY, UT 84143-0001
(801) 265-3087
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 265-3087
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1169553501
UT
Other
Enumeration date
07/21/2006
Last updated
10/17/2007
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