Individual
STACEY WHITE NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
4040 MEMORIAL PKWY SW, HUNTSVILLE, AL 35802-4364
(256) 566-7930
(256) 341-0747
Mailing address
4040 MEMORIAL PKWY SW, HUNTSVILLE, AL 35802-4364
(256) 533-1970
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2935G
AL
Other
Enumeration date
07/24/2012
Last updated
01/03/2023
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