Individual
DANIELLE MARIE NIELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1303 STATE ST, MOUND CITY, MO 64470-1717
(660) 442-5464
Mailing address
2303 VILLAGE DR, SAINT JOSEPH, MO 64506-4954
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
2018022833
MO
1041C0700X
Clinical Social Worker
Primary
2020031613
MO
Other
Enumeration date
09/11/2019
Last updated
02/19/2021
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