Individual
DANIELLE NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1764 W 4800 S, APT. M, ROY, UT 84067-3699
(801) 644-2955
Mailing address
1174 E 1390 S, OGDEN, UT 84404-5943
(801) 644-2955
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
6656343-3502
UT
Other
Enumeration date
03/29/2017
Last updated
11/30/2023
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