Individual
RENEA NILSSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
150 N MAIN ST STE 204E, HEBER CITY, UT 84032-1671
(435) 709-6282
Mailing address
PO BOX 111, HEBER CITY, UT 84032-0111
(435) 709-6282
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
14072833-3501
UT
1041C0700X
Clinical Social Worker
CSW.09924502
CO
Other
Enumeration date
09/10/2024
Last updated
09/10/2024
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