Most Relevant Information
Provider Data
| NPI Number: | 1003034240 |
| Provider Name: | DOUG E NIELSEN MSW, LCSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | 266439-3501 |
Most Important Dates
| Enumeration Date: | 04/23/2007 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
1466 N HIGHWAY 89 STE 220
FARMINGTON
UT
840252738
Practice Location Phone/Fax
| Phone: | 8014510475 |
| Fax: |
Provider Mailing Location
PO BOX 1219
EDEN
UT
843101219
Provider Mailing Phone/Fax
| Phone: | 8017453233 |
| Fax: |