Individual
MICHELLE ANTOINETTE NIELSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1760 WEST 4805 SOUTH, TAYLORSVILLE, UT 84123
(801) 955-9110
(801) 955-9411
Mailing address
1760 WEST 4805 SOUTH, TAYLORSVILLE, UT 84123
(801) 955-9110
(801) 955-9411
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
8266980-3502
UT
Other
Enumeration date
06/07/2012
Last updated
06/07/2012
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