Individual
MRS. MARY JANE NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3381 MAYFLOWER WAY, SUITE 100, LEHI, UT 84043-2994
(801) 331-6775
(801) 766-2010
Mailing address
3381 MAYFLOWER WAY, SUITE 100, LEHI, UT 84043-2994
(801) 331-6775
(801) 766-2010
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5172018-3501
UT
Other
Enumeration date
01/18/2012
Last updated
01/18/2012
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