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Individual

MRS. MICHELLE MARI NELSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSW

Contact information

Practice address
2720 PARKLANE DR, BOSQUE FARMS, NM 87068
(505) 307-3574
Mailing address
2720 PARKLANEDR, BOSQUE FARMS, NM 87068
(505) 307-3574

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
X-07244
NM

Other

Enumeration date
04/18/2011
Last updated
04/18/2011
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