Individual
KRISTEN BUSICO NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5667 S REDWOOD RD UNIT 6B, TAYLORSVILLE, UT 84123-5495
(801) 979-1351
Mailing address
5667 S REDWOOD RD UNIT 6B, TAYLORSVILLE, UT 84123-5495
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
08/29/2017
Last updated
03/17/2018
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