Individual
VANESSA NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
107 S HIGH ST, ANTLERS, OK 74523-3818
(580) 298-2830
(580) 298-6723
Mailing address
411 S CENTRAL AVE, IDABEL, OK 74745-6059
(580) 286-5045
(580) 286-5721
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
09/24/2014
Last updated
09/24/2014
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