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1548571433
STEVEN DOUGLAS NILSSON
PROVO, UT
NPI
1548571433
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ID LCSW-32452)
Enumeration Date
2010-06-25
Last Update Date
2019-04-30
Business Address
Mr. STEVEN DOUGLAS NILSSON LCSW
750 N FREEDOM BLVD
PROVO, UT 84601-1677
Phone number: 801-373-4760
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Mailing Address
Mr. STEVEN DOUGLAS NILSSON LCSW
750 N FREEDOM BLVD
PROVO, UT 84601-1677
Phone number: 801-373-4760
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