Individual
ALEX NIKOLE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
971 S 800 W, BRIGHAM CITY, UT 84302-3042
(435) 239-8445
Mailing address
971 S 800 W, BRIGHAM CITY, UT 84302-3042
(435) 239-8445
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
104100000X
Social Worker
Primary
12703220-3502
UT
172V00000X
Community Health Worker
—
—
Other
Enumeration date
04/07/2021
Last updated
01/08/2024
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