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Individual
DR. SUE ANN NELSON
Active
Individual
DR. SUE ANN NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
EDD
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
PSY22619
CA
251S00000X
Community/Behavioral Health Agency
Primary
PSY22619
CA
Other
Enumeration date
03/10/2007
Last updated
11/26/2011
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