Individual
MRS. COLLEEN E NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 713-8330
Mailing address
606 BELLEMEADE ST, GREENSBORO, NC 27401-1903
(248) 535-6084
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
9884
NC
Other
Enumeration date
01/06/2014
Last updated
01/06/2014
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