Individual
MRS. KIMBERLY NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
97 WOODSVALE RD, MADISON, CT 06443-1749
(203) 421-4134
Mailing address
97 WOODSVALE RD, MADISON, CT 06443-1749
(203) 421-4134
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
003250
CT
Other
Enumeration date
01/09/2007
Last updated
07/08/2007
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