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1003071648
KRISTINE LOUISE NELSON
SALT LAKE CITY, UT
NPI
1003071648
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: UT 138233-3501)
Enumeration Date
2008-07-23
Last Update Date
2008-07-23
Business Address
-- KRISTINE LOUISE NELSON LCSW
VA SLC 500 FOOTHILL BLVD
SALT LAKE CITY, UT 84148-0001
Phone number: 801-582-1565
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Mailing Address
-- KRISTINE LOUISE NELSON LCSW
439 S 1100 E
SALT LAKE CITY, UT 84102-3108
Phone number: 801-583-3370
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