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Individual

CASEY NELSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
2817 ROCK MERRITT AVE, FORT LIBERTY, NC 28310-4504
(910) 907-8922
(910) 907-6069
Mailing address
2817 ROCK MERRITT AVE, FORT LIBERTY, NC 28310-0001
(910) 907-8922
(910) 907-6069

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
621
WY

Other

Enumeration date
11/30/2016
Last updated
11/25/2024
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