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Individual

JAELA NELSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3274 BRIGGS BLVD NE, GRAND RAPIDS, MI 49525-2502
(616) 929-0324
Mailing address
24008 CHIPMUNK TRL, NOVI, MI 48375-3336
(734) 655-0482

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6851121531
MI
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
04/30/2024
Last updated
05/28/2026
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