Individual
MICHELLE A NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MFT, MSW
Contact information
Practice address
3200 W HIGHLAND BLVD, MILWAUKEE, WI 53208-3252
(414) 345-3080
Mailing address
2964 MALLARD WAY, EAST TROY, WI 53120-2563
(262) 264-5673
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
136-228
WI
Other
Enumeration date
02/15/2009
Last updated
02/16/2009
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