Individual
CHRISTINE NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
24424 W MCNICHOLS RD, DETROIT, MI 48219
(313) 531-2500
(313) 255-1795
Mailing address
2107 WHITE AVE, LINCOLN PARK, MI 48146-4511
(313) 310-7505
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801102807
MI
106S00000X
Behavior Technician
—
—
Other
Enumeration date
08/29/2017
Last updated
08/30/2018
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