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Individual
NELSON S YODER
Active
Individual
NELSON S YODER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW014573
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103755175
—
PA
01
—
11655046
CAQH
—
01
—
CW014573
STATE LICENSE
PA
Enumeration date
12/13/2006
Last updated
10/18/2022
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