Individual
MRS. KATIE NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
210 STATE ST, MOBILE, AL 36603-6423
(251) 463-6398
Mailing address
15 MACY PL, MOBILE, AL 36604-1211
(251) 463-6398
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
C3322A
AL
Other
Enumeration date
09/23/2019
Last updated
09/23/2019
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