Individual
MR. COLLIS CODY NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSSW, LMSW, SWC
Contact information
Practice address
2878 SPRINGVALE RD, MORRISTOWN, TN 37813-3241
(423) 736-3323
Mailing address
2878 SPRINGVALE RD, MORRISTOWN, TN 37813-3241
(423) 736-3323
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
0000013017
TN
104100000X
Social Worker
Primary
LSW0000013017
TN
104100000X
Social Worker
SWC.0000000991
CO
Other
Enumeration date
09/20/2022
Last updated
09/20/2022
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