Matthew Kael Nisson

NPI #1003249418 in Salt Lake City, Utah

Provider Information

NPI Number: 1003249418
Entity Type: Individual
Name: Matthew Kael Nisson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Enumeration Date: Aug 21, 2013
Last Updated: Feb 27, 2017

Practice Location

Address: 5965 S 900 E
City: Salt Lake City
State: Utah
ZIP Code: 84121-1720
Phone: (801) 263-7100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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