Individual
ANGELA NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3281 N MAIN ST, SPANISH FORK, UT 84660-8501
(801) 851-7652
Mailing address
2136 N 40 W APT 357, PROVO, UT 84604-7657
(407) 967-0236
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
08/19/2015
Last updated
01/31/2017
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