Individual
NICOLE RAE NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1150 NW 8TH AVE, GAINESVILLE, FL 32601-4967
(352) 513-8551
Mailing address
1150 NW 8TH AVE, GAINESVILLE, FL 32601-4967
(352) 513-8551
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
02/21/2022
Last updated
10/05/2023
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