Individual
ELIZABETH NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
206 6TH ST, FOND DU LAC, WI 54935-5174
(920) 204-6393
Mailing address
206 6TH ST, FOND DU LAC, WI 54935-5174
(920) 204-6393
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
11007-125
WI
Other
Enumeration date
02/24/2021
Last updated
06/25/2024
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