Individual
REBECCA A NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
376 KENMORE DRIVE, DANVILLE, WV 25053
(304) 525-7851
(304) 525-1073
Mailing address
3375 US RT 60 E, HUNTINGTON, WV 25705
(304) 525-7851
(304) 525-1073
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
AP00942191
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AP0094191
LSW
WV
Enumeration date
10/13/2006
Last updated
07/08/2007
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