Individual
MS. THERESA M NELSON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MS,LP
Contact information
Practice address
2450 RIVERSIDE AVE, MINNEAPOLIS, MN 55454-1512
(612) 273-5640
Mailing address
1463 BLAIR AVE, SAINT PAUL, MN 55104-1939
(651) 917-0690
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP1342
MN
Other
Enumeration date
04/12/2006
Last updated
07/08/2007
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