Individual
MR. ROGER L. NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
75-5751 KUAKINI HWY STE 104, KAILUA KONA, HI 96740-1705
(808) 326-5629
Mailing address
75-5751 KUAKINI HWY STE 104, KAILUA KONA, HI 96740-1705
(808) 326-5629
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
2022025822
MO
1041C0700X
Clinical Social Worker
373906-3501
UT
1041C0700X
Clinical Social Worker
Primary
LCSW-5208
HI
Other
Enumeration date
03/29/2012
Last updated
01/15/2025
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