Individual
MS. DIANNE MARIE NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B,S,W., M.S.W.
Contact information
Practice address
2051 W GRAND BLVD, DETROIT, MI 48208-1105
(313) 961-4210
(313) 961-3255
Mailing address
2051 W GRAND BLVD, DETROIT, MI 48208-1105
(313) 961-4210
(313) 961-3255
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801092274
MI
Other
Enumeration date
08/18/2010
Last updated
08/18/2010
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