Individual
ERIC NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
677 CHURCH ST NE, MARIETTA, GA 30060-1101
(404) 368-9719
Mailing address
677 CHURCH ST NE, MARIETTA, GA 30060-1101
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW006190
GA
Other
Enumeration date
04/05/2018
Last updated
04/05/2018
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