Individual
MS. CHANE'L I NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LLMSW
Contact information
Practice address
14799 DIX TOLEDO RD, SOUTHGATE, MI 48195-2507
(734) 324-8326
Mailing address
14410 E STATE FAIR ST, DETROIT, MI 48205-1842
(313) 933-8748
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801102496
MI
Other
Enumeration date
09/27/2018
Last updated
09/27/2018
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