Individual
ROSE MARIE NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSWCC
Contact information
Practice address
329 BATH RD, BRUNSWICK, ME 04011-2609
(207) 373-3012
Mailing address
60 FAIRVIEW AVE, AUGUSTA, ME 04330-5832
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
MC10079
ME
Other
Enumeration date
01/02/2007
Last updated
07/08/2007
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