Individual
MRS. DORIS NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1 FREEDOM WAY, 295 ST, AUGUSTA, GA 30904-6258
(706) 787-0097
(706) 787-2109
Mailing address
1 FREEDOM WAY, 295 ST, AUGUSTA, GA 30904-6258
(706) 787-0097
(706) 787-2109
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
MSW003440
GA
Other
Enumeration date
09/01/2006
Last updated
07/08/2007
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