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Individual

CINDY NELSON-POUGET

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
143 W SAINT CLAIR ST, ROMEO, MI 48065-4657
(586) 697-0019
Mailing address
143 W SAINT CLAIR ST, ROMEO, MI 48065-4657
(586) 697-0019

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801079960
MI
1041C0700X
Clinical Social Worker
680109940
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1883825
MI
Enumeration date
04/26/2007
Last updated
08/08/2024
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