Individual
NANCY JAYNE NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4509 E SHERRILL RD, MINOOKA, IL 60447-9873
(815) 405-3559
Mailing address
4509 E SHERRILL RD, MINOOKA, IL 60447-9873
(815) 405-3559
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
149.006567
IL
Other
Enumeration date
03/20/2017
Last updated
03/20/2017
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