Individual
ALICIA NIELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
8637 FREDERICKSBURG RD STE 100, SAN ANTONIO, TX 78240-1283
(210) 774-3562
Mailing address
8406 GOLDEN SUNSET, SAN ANTONIO, TX 78250-2131
(210) 591-2664
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
63221
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
63221
TEXAS SOCIAL WORK LICENSING BOARD
TX
Enumeration date
09/08/2020
Last updated
09/08/2020
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