Individual
MRS. NICOLE TRUMP MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSW
Contact information
Practice address
857 E 200 S, SALT LAKE CITY, UT 84102-2317
(801) 487-3276
Mailing address
3000 E DICKENS PL, SALT LAKE CITY, UT 84108-2505
(801) 882-5752
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
11256813502
UT
Other
Enumeration date
08/24/2018
Last updated
06/11/2021
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