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Individual

DAYTON JOEL NELSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LMSW

Contact information

Practice address
2650 OLIVE ST, SAINT LOUIS, MO 63103-1489
(314) 802-2647
(314) 842-2552
Mailing address
2650 OLIVE ST, SAINT LOUIS, MO 63103-1489
(314) 802-2647
(314) 842-2552

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
2020031628
MO
1041C0700X
Clinical Social Worker
Primary
2022046260
MO

Other

Enumeration date
09/22/2022
Last updated
12/02/2022
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