Individual
MRS. CANDICE NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
317 DETROIT ST, MICHIGAN CITY, IN 46360-3717
(219) 229-0460
Mailing address
PO BOX 262, MICHIGAN CITY, IN 46361
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
03/27/2015
Last updated
03/27/2015
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