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Individual

JEANETTE L NELSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PCSW

Contact information

Practice address
3304 I80 SERVICE RD, CHEYENNE, WY 82009-8781
(307) 829-7454
Mailing address
91 FORT WARREN AVE, CHEYENNE, WY 82001-7009
(702) 249-1642

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
PCSW-1014
WY

Other

Enumeration date
03/25/2022
Last updated
03/25/2022
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