Individual
MYESHA RAVEN DANIELLE NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
13400 E SHEA BLVD, SCOTTSDALE, AZ 85259-5499
(480) 301-8000
(602) 302-7925
Mailing address
13400 E SHEA BLVD, SCOTTSDALE, AZ 85259-5499
(480) 301-8000
(602) 302-7925
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-21417
AZ
Other
Enumeration date
06/27/2023
Last updated
11/01/2024
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