Individual
DAVID W NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW LPC
Contact information
Practice address
W12802 COUNTY ROAD A, BOWLER, WI 54416-9551
(715) 793-4144
(715) 793-4120
Mailing address
1208 BIRCH HILL LN, SHAWANO, WI 54166-3712
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2797-125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40952300
—
WI
Enumeration date
11/17/2006
Last updated
07/08/2007
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