Iris Ivette Nieto, CSW
Social Worker, Clinical in Orem, UT. Individual provider (NPI-1).
NPI number1083201263
StatusActive
Last updated in NPPESDec 22, 2020
Details
- NPI
- 1083201263
- Entity type
- Individual (NPI-1)
- Name
- Iris Ivette Nieto
- Credential
- CSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 22, 2020
- Certification date
- Dec 22, 2020
- Last updated
- Dec 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 12060286-3502 | UT | Yes |
Practice location
1256 S State St Ste 201Orem, UT 84097-8239
Phone 801-376-4140
Mailing address
593 S 880 WSpanish Fork, UT 84660-5727
Phone 801-376-4140
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