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Individual
MS. PATRICIA DIANE NELSON
Active
Individual
MS. PATRICIA DIANE NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904006681
VA
163W00000X
Registered Nurse
0001216061
VA
Other
Enumeration date
05/04/2007
Last updated
02/17/2011
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