Individual
CLARISA NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
616 WEST ST, MANTORVILLE, MN 55955-6137
(507) 923-1923
Mailing address
1470 INDUSTRIAL DR NW, ROCHESTER, MN 55901-0700
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/31/2022
Last updated
01/31/2022
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