Individual
EMILY NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSW
Contact information
Practice address
809 PARK AVE, BEAVER DAM, WI 53916-2205
(920) 887-3172
Mailing address
809 PARK AVE, BEAVER DAM, WI 53916-2205
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
10132-120
WI
Other
Enumeration date
01/23/2019
Last updated
01/23/2019
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