Individual
KURT A NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
410 S WALNUT ST, APPLETON, WI 54911-5920
(920) 832-4741
(920) 832-2185
Mailing address
410 S WALNUT ST, APPLETON, WI 54911-5920
(920) 832-4741
(920) 832-2185
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
889-121
WI
Other
Enumeration date
01/10/2008
Last updated
01/10/2008
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