Individual
LAURA ELIZABETH NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
800 E MAIN ST, BRADFORD, PA 16701-3278
(814) 362-5248
(814) 362-5263
Mailing address
800 E MAIN ST, BRADFORD, PA 16701-3278
(814) 636-2524
(814) 362-5263
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW016316
PA
Other
Enumeration date
08/15/2007
Last updated
09/02/2009
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