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1104313675
COLETTE R NELSON
SALT LAKE CITY, UT
NPI
1104313675
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: UT 6754445-6006)
Enumeration Date
2018-04-19
Last Update Date
2018-04-19
Business Address
COLETTE R NELSON LSUDC
344 E 100 S
SALT LAKE CITY, UT 84111-1700
Phone number: 801-322-3222
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Mailing Address
COLETTE R NELSON LSUDC
2220 E MURRAY HOLLADAY RD APT 55
HOLLADAY, UT 84117-5306
Phone number: 801-915-0900
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