Individual
NELLIE M ARRIETA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L. C.S.W.
Contact information
Practice address
2290 E 4500 S, SUITE 110, HOLLADAY, UT 84117-4492
(801) 652-8813
(801) 415-9525
Mailing address
PO BOX 520477, SALT LAKE CITY, UT 84152-0477
(801) 652-8813
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
134859-3501
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13485935001001
BLUE CROSS BLUE SHIELD
—
Enumeration date
06/28/2006
Last updated
09/04/2012
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