Individual
MS. GWEN ALISON NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., LCSW
Contact information
Practice address
484 N PINE ST, BURLINGTON, WI 53105-1417
(262) 332-0131
Mailing address
484 N PINE ST, BURLINGTON, WI 53105-1417
(262) 332-0131
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3183
WI
Other
Enumeration date
09/24/2007
Last updated
09/24/2007
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