Individual
MS. BETH ANN NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW LICSW
Contact information
Practice address
4660 SLATER ROAD, SUITE 210, EAGAN, MN 55122-4055
(651) 681-8615
(651) 683-0057
Mailing address
4660 SLATER ROAD, SUITE 210, EAGAN, MN 55122-4055
(651) 681-8615
(651) 683-0057
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
04313
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
40B92NE
BLUE CROSS BLUE SHIELD
MN
01
—
6207092
MEDICA
—
Enumeration date
04/04/2007
Last updated
07/08/2007
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