Individual
MISS MARY LOUISE NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BASW
Contact information
Practice address
2285 BENDEN DR, WOOSTER, OH 44691-2568
(330) 264-9029
(330) 263-7251
Mailing address
2285 BENDEN DR, WOOSTER, OH 44691-2568
(330) 264-9029
(330) 263-7251
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/15/2019
Last updated
01/15/2019
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