ELIJAH KIMBALL NIELSON

PROVO, UT
NPI1821199472
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy104100000X Social Worker
(Licence: UT  5687052-3502)
Enumeration Date2006-09-26
Last Update Date2007-07-08
Business Address
-- ELIJAH KIMBALL NIELSON CSW
750 N FREEDOM BLVD
PROVO, UT 84601-1677
Phone number: 801-373-4760
Mailing Address
-- ELIJAH KIMBALL NIELSON CSW
750 N FREEDOM BLVD
PROVO, UT 84601-1677
Phone number: 801-373-4760
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