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Individual

TERRY NELSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
30826 LINDER RD, DENHAM SPRINGS, LA 70726
(225) 665-7878
Mailing address
30826 LINDER RD, DENHAM SPRINGS, LA 70726-8507

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
171M00000X
Case Manager/Care Coordinator

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1548839
LA
Enumeration date
06/08/2017
Last updated
06/14/2018
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