Individual
CARLY GRACE NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2772 LUTZ AVE, MANSFIELD, OH 44903-9658
(440) 537-2429
Mailing address
2772 LUTZ AVE, MANSFIELD, OH 44903-9658
(440) 537-2429
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP.14561
OH
Other
Enumeration date
08/20/2020
Last updated
01/17/2022
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