Individual
RICHARD JACKSON NANCE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
151 S UNIVERSITY AVE, SUITE 3200, PROVO, UT 84601-4427
(801) 581-7130
Mailing address
10193 FOREST CREEK DR, CEDAR HILLS, UT 84062-8631
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
140989-3501
UT
Other
Enumeration date
12/01/2010
Last updated
12/01/2010
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