Individual
MS. TI JANE' NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2810 W CLEARWATER AVE, SUITE 103, KENNEWICK, WA 99336-2963
(509) 783-7333
(509) 783-1980
Mailing address
2810 W CLEARWATER AVE, SUITE 103, KENNEWICK, WA 99336-2963
(509) 783-7333
(509) 783-1980
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SC 60287541
WA
Other
Enumeration date
10/03/2012
Last updated
10/03/2012
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