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Individual

HEATHER F NELSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LISW

Contact information

Practice address
1021 SALAZAR ROAD, TAOS, NM 87571
(505) 770-1786
(505) 751-9110
Mailing address
4 BALSAMO LANE, RANCHOS DE TAOS, NM 87557
(505) 770-1786
(505) 751-9110

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
I05596
NM
1041C0700X
Clinical Social Worker
I05596
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
47255251
NM
01
NM100238
VALUE OPTIONS
NM
Enumeration date
08/21/2006
Last updated
09/11/2025
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