Individual
NICOLE K WARDELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
275 N 300 W STE 404, KAYSVILLE, UT 84037-1880
(801) 614-5866
(801) 825-1162
Mailing address
1560 N MAIN ST APT C7, LAYTON, UT 84041-2085
(307) 272-0289
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
11522297-3501
UT
Other
Enumeration date
03/29/2013
Last updated
03/02/2023
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