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Individual
MR. MATTHEW L NELSON
Active
Individual
MR. MATTHEW L NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LISW, LICDC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LICDC.162569
OH
104100000X
Social Worker
I.2405857
OH
1041C0700X
Clinical Social Worker
Primary
I.2405857
OH
Other
Enumeration date
07/22/2014
Last updated
08/23/2026
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