Individual
DAVID THOMAS NILSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
113 COMANCHE RD, FORT MEADE, SD 57741-1002
(605) 347-2511
Mailing address
816 FEATHERSTONE RD, ROCKFORD, IL 61107-6300
(815) 227-0081
(815) 387-5316
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
149023208
IL
Other
Enumeration date
08/18/2014
Last updated
01/02/2025
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