Individual
AMANDA NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2150 S MCCLELLAND ST, APT 217, SALT LAKE CITY, UT 84106-2580
(801) 815-5855
Mailing address
2150 S MCCLELLAND ST, APT 217, SALT LAKE CITY, UT 84106-2580
(801) 815-5855
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
8650445-3905
UT
Other
Enumeration date
12/16/2015
Last updated
12/16/2015
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