Individual
RYAN SPERRY NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
344 E 100 S, SUITE 301, SALT LAKE CITY, UT 84111-1700
(801) 322-4257
Mailing address
344 E 100 S, SUITE 301, SALT LAKE CITY, UT 84111-1700
(801) 322-4257
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6625079-3501
UT
Other
Enumeration date
05/24/2010
Last updated
05/24/2010
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