Individual
AMANDA NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
688 ANTELOPE GAP RD, WHEATLAND, WY 82201-8810
(307) 331-7869
Mailing address
12 SANDTRAIL, PURVIS, MS 39475-5434
(601) 744-6136
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
07/08/2024
Last updated
07/08/2024
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