Individual
CAROLINE NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY. DLP
Contact information
Practice address
707 HIGHWAY 33 S, CLOQUET, MN 55720-2696
(218) 878-1053
Mailing address
707 HIGHWAY 33 S, CLOQUET, MN 55720-2696
(218) 878-1053
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP4209
MN
Other
Enumeration date
10/05/2006
Last updated
07/08/2007
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