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Individual
JEANETTE L NELSON
Active
Individual
JEANETTE L NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
266279-3501
UT
1041C0700X
Clinical Social Worker
LCSW-1673
WY
1041C0700X
Clinical Social Worker
LCSW-22512
AZ
1041C0700X
Clinical Social Worker
Primary
PCSW-1014
WY
Other
Enumeration date
03/25/2022
Last updated
10/09/2026
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