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Individual

DR. DAWN RENEE' NELSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PSY.D., M.DIV.

Contact information

Practice address
1363 N. PROSPECT AVENUE, MILWAUKEE, WI 53202
(828) 321-9900
Mailing address
1363 N. PROSPECT AVE., MILWAUKEE, WI 53202
(828) 321-9900

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3157
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
046VF
PSYCHOLOGIST
NC
Enumeration date
01/18/2006
Last updated
11/06/2014
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