Individual
JANET NIMER WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5284 S COMMERCE DR STE C134, MURRAY, UT 84107
(801) 266-4643
(801) 266-4775
Mailing address
5284 S COMMERCE DR STE C134, MURRAY, UT 84107-5360
(801) 266-4643
(801) 266-4775
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
273553-3501
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11411923
CAQH
—
Enumeration date
03/17/2006
Last updated
06/11/2019
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