Individual
ASHLEY ROSE NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
126 SEYMOUR AVE, JACKSON, MI 49202-3558
(734) 219-3314
Mailing address
428 N MARSHALL AVE, MARSHALL, MI 49068-1283
(269) 275-0119
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6451020831
MI
Other
Enumeration date
12/20/2019
Last updated
05/08/2024
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