Individual
CAROLYN NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MFT
Contact information
Practice address
509 EMERYWOOD DR, RALEIGH, NC 27615-1528
(908) 578-4833
Mailing address
509 EMERYWOOD DR, RALEIGH, NC 27615-1528
(908) 578-4833
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1172
NC
Other
Enumeration date
10/16/2007
Last updated
10/16/2007
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