Individual
MRS. MICHELLE NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3458 NEELY RD, MC GUIRE AFB, NJ 08641-5312
(609) 754-9448
Mailing address
3458 NEELY RD, MC GUIRE AFB, NJ 08641-5312
(609) 754-9448
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
1041C0700X
Clinical Social Worker
44SC00214700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
44SC00214700
LCSW
NJ
Enumeration date
11/02/2005
Last updated
12/15/2021
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