Individual
NICHOLE KATHERINE NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1009 W RIDGE ST, MARQUETTE, MI 49855-3997
(906) 228-6545
(906) 228-8236
Mailing address
618 IRON ST, ISHPEMING, MI 49849-1152
(701) 331-9701
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6801098599
MI
Other
Enumeration date
08/28/2015
Last updated
08/28/2015
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