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Individual

STEVEN KENNETH NIELSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
ED.D.

Contact information

Practice address
101 DUNCRAIG DR, SUITE 104, LYNCHBURG, VA 24502-5789
(434) 444-0738
(434) 237-4307
Mailing address
101 DUNCRAIG DR, SUITE 104, LYNCHBURG, VA 24502-5789
(434) 444-0738
(434) 237-4307

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810000081
VA

Other

Enumeration date
07/07/2015
Last updated
07/07/2015
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