Individual
TINA NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5615 W 32ND ST, JOPLIN, MO 64804-8161
(417) 262-6175
Mailing address
225 S OZARK AVE, JOPLIN, MO 64801-1661
(417) 439-1917
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
06/10/2016
Last updated
04/01/2024
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