Individual
JEAN NIELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, CSW
Contact information
Practice address
251 HIGHWAY 198, STE #4, SALEM, UT 84653-5608
(801) 609-4504
Mailing address
12848 S CINDY LN, DRAPER, UT 84020-9358
(801) 609-4504
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
8601328-3502
UT
Other
Enumeration date
04/08/2014
Last updated
04/08/2014
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