Individual
KARA NICOLE NELSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1804 STONERIDGE LN, GRAFTON, WI 53024-9691
(262) 685-7944
Mailing address
1804 STONERIDGE LN, GRAFTON, WI 53024-9691
(262) 685-7944
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/23/2024
Last updated
08/23/2024
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