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Organization

CAROL L NELSON, LCSW, LLC

Active
Other names
Carol L Nelson, LCSW, LLC
Organization subpart
No

Provider details

NPI number
Authorized official
CAROL L NELSON LCSW (OWNER/PROVIDER)
(434) 990-4163
Entity
Organization

Contact information

Practice address
8767 SEMINOLE TRL STE 201C, RUCKERSVILLE, VA 22968-3494
(434) 990-4163
(434) 990-4961
Mailing address
8767 SEMINOLE TRL STE 201C, RUCKERSVILLE, VA 22968-3494
(434) 990-4163
(434) 990-4961

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary

Other

Enumeration date
07/03/2019
Last updated
07/03/2019
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