Individual
TRACY RADIG NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3911 20TH AVE S, FARGO, ND 58103-4705
(701) 271-3232
(701) 235-7359
Mailing address
510 4TH ST S, FARGO, ND 58103-1914
(701) 476-7200
(701) 476-7261
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3309
ND
Other
Enumeration date
10/17/2007
Last updated
12/09/2020
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