Individual
ELEANOR PORTER-NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
2136 FORD PKWY # 5294, SAINT PAUL, MN 55116-2850
(612) 467-9924
(612) 234-4261
Mailing address
2136 FORD PKWY # 5294, SAINT PAUL, MN 55116-2850
(612) 467-9924
(612) 234-4261
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
149.018524
IL
1041C0700X
Clinical Social Worker
Primary
26663
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1548718869
—
MN
Enumeration date
09/15/2016
Last updated
08/29/2022
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