Individual
NANCY LARSSON BELLISTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
560 S STATE ST, SUITE G-1, OREM, UT 84058-6354
(801) 802-8608
(801) 221-1042
Mailing address
111 E 5600 S, #318, MURRAY, UT 84107-6174
(801) 268-2887
(801) 268-4295
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5962026-3501
UT
Other
Enumeration date
02/20/2008
Last updated
02/20/2008
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