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Individual

MATTHEW NELSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MS

Contact information

Practice address
100 SILVER LAKE RD NW, ST PAUL, MN 55112
(612) 271-2408
Mailing address
PO BOX 21449, MINNEAPOLIS, MN 55421-0449
(763) 560-0900

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
3356
MN
106H00000X
Marriage & Family Therapist
MI0508
NV
106H00000X
Marriage & Family Therapist

Other

Enumeration date
03/17/2014
Last updated
03/28/2022
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