Most Relevant Information
Provider Data
| NPI Number: | 1003071648 |
| Provider Name: | KRISTINE LOUISE NELSON LCSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | 138233-3501 |
Most Important Dates
| Enumeration Date: | 07/23/2008 |
| Last Updated: | 07/23/2008 |
Provider Practice Location
VA SLC
500 FOOTHILL BLVD
SALT LAKE CITY
UT
841480001
Practice Location Phone/Fax
| Phone: | 8015821565 |
| Fax: |
Provider Mailing Location
439 S 1100 E
SALT LAKE CITY
UT
841023108
Provider Mailing Phone/Fax
| Phone: | 8015833370 |
| Fax: |