Organization
BRET J. NIELSON, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRET JOHN NIELSON LCSW (DIRECTOR)
(224) 408-0390
Entity
Organization
Contact information
Practice address
1518 WALNUT ST STE 1100, PHILADELPHIA, PA 19102-3406
(224) 408-0390
Mailing address
1603 ORRINGTON AVE STE 600, EVANSTON, IL 60201-3860
(224) 408-0390
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
12/07/2020
Last updated
11/11/2022
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