Individual
STACIE LYNNE NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, LAMFT
Contact information
Practice address
265 RIVER ST N, DELANO, MN 55328-8266
(612) 584-1153
Mailing address
PO BOX 752, DELANO, MN 55328-0752
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2696
MN
Other
Enumeration date
04/02/2013
Last updated
04/02/2013
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