Lisa Marie Nielsen
Social Worker in Provo, UT. Individual provider (NPI-1).
NPI number1265199871
StatusActive
Last updated in NPPESNov 18, 2021
Details
- NPI
- 1265199871
- Entity type
- Individual (NPI-1)
- Name
- Lisa Marie Nielsen
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 18, 2021
- Certification date
- Nov 18, 2021
- Last updated
- Nov 18, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 104100000X | Social Worker | – | – | Yes |
Practice location
1726 S Buckley LnProvo, UT 84606-5031
Phone 801-373-6562 · Fax 801-375-9225
Mailing address
1726 S Buckley LnProvo, UT 84606-5031
Phone 801-373-6562 · Fax 801-375-9225
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All 260 Social Worker providers in Provo · All 6,098 providers in Provo
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