Individual
JASON NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
116 HEMENWAY RD, WINLOCK, WA 98596-9507
(360) 219-6054
Mailing address
116 HEMENWAY RD, WINLOCK, WA 98596-9507
(360) 219-6054
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
03/10/2025
Last updated
03/10/2025
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