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Individual

DAVID MATTHEW NIELSEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
9938 AIRLINE HWY, BATON ROUGE, LA 70816-8193
(225) 663-2881
Mailing address
9938 AIRLINE HWY, BATON ROUGE, LA 70816-8193
(225) 663-2881

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
13284
LA

Other

Enumeration date
09/28/2018
Last updated
09/28/2018
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