Individual
ELIZABETH NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1119 W KENNEDY AVE, KIMBERLY, WI 54136-2214
(920) 336-8960
Mailing address
PO BOX 309, SIREN, WI 54872-0309
(715) 446-8985
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
8353-226
WI
Other
Enumeration date
04/07/2025
Last updated
04/07/2025
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