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1396006003
MELISSA SUE NICHOLS
BRIGHAM CITY, UT
NPI
1396006003
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: UT 8957395-3502)
Enumeration Date
2012-05-30
Last Update Date
2014-07-02
Business Address
-- MELISSA SUE NICHOLS
950 SOUTH 663 WEST
BRIGHAM CITY, UT 84302-2400
Phone number: 435-257-2168
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Mailing Address
-- MELISSA SUE NICHOLS
90 E 200 N
LOGAN, UT 84321-4034
Phone number: 435-752-0750
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