Individual
MARK STEVEN NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
2311 PARK AVE, UNIT 2 SUITE 8, BURLEY, ID 83318-2170
(208) 878-3350
Mailing address
238 AVENIDA DEL RIO DR, TWIN FALLS, ID 83301-9276
(208) 733-9799
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LMSW-31713
ID
Other
Enumeration date
02/21/2012
Last updated
02/21/2012
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