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Individual

DR. MARILYN JANICE NELSEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
1101 PEMBERTON HILL RD, SUITE 101, APEX, NC 27502-3957
(919) 270-6039
Mailing address
103 THORN HOLLOW DR, APEX, NC 27523-9271
(919) 270-6039

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1053
NC
106H00000X
Marriage & Family Therapist
36353
CA

Other

Enumeration date
07/17/2006
Last updated
07/08/2007
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