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Individual

NICOLE KATRINA KORMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
L.C.S.W., S.U.D.C.

Contact information

Practice address
7105 S HIGHLAND DR, SUITE #101, COTTONWOOD HEIGHTS, UT 84121-3753
(801) 783-4779
Mailing address
7105 S HIGHLAND DR, SUITE # 101, COTTONWOOD HEIGHTS, UT 84121-3753
(801) 739-3754

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
6242266-6006
UT
1041C0700X
Clinical Social Worker
Primary
6242266-3501
UT

Other

Enumeration date
05/05/2011
Last updated
02/28/2014
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