Individual
TANYA RAE NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
201 E 11TH ST, SPENCER, IA 51301-4460
(712) 269-6957
Mailing address
201 E 11TH ST, SPENCER, IA 51301-4436
(712) 269-6957
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
124011
IA
Other
Enumeration date
05/16/2024
Last updated
05/16/2024
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