Individual
DORIS JEAN NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Contact information
Practice address
9017 TAYLORSVILLE RD, LOUISVILLE, KY 40299-1749
(502) 499-9993
Mailing address
9017 TAYLORSVILLE RD, LOUISVILLE, KY 40299-1749
(502) 499-9993
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
425
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
82004250
—
KY
05
—
82900036
—
KY
Enumeration date
03/10/2008
Last updated
03/10/2008
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