Individual
NICOLA A EDDLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
623 E FORT UNION BLVD STE 105, MIDVALE, UT 84047-5529
(385) 412-1660
(800) 856-3698
Mailing address
623 E FORT UNION BLVD STE 105, MIDVALE, UT 84047-5529
(385) 412-1660
(800) 856-3698
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5950578-3501
UT
Other
Enumeration date
09/30/2025
Last updated
09/30/2025
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