Individual
VICKI ANN NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA.,LLP
Contact information
Practice address
46360 GRATIOT AVE, CHESTERFIELD, MI 48051-2800
(586) 948-0224
Mailing address
1448 WELLESLEY DR, MOUNT CLEMENS, MI 48043-6517
(586) 465-2628
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301007186
MI
Other
Enumeration date
02/09/2007
Last updated
07/08/2007
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