Provider Information for 1134746530
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Ms. NORA BETH NELSON LCSW
Sex: Female
NPI: 1134746530
Last Updated: 2020-07-01
Certification Date: 2020-07-01
Certification Date: 2020-07-01
Details
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NPI | 1134746530 | ||||||||
Enumeration Date | 2020-07-01 | ||||||||
NPI Type | NPI-1 Individual | ||||||||
Sole Proprietor | YES | ||||||||
Status | Active | ||||||||
Mailing Address | 1716 FAIRWAY TRCE PALMETTO, FL 34221-5920 United States Phone: 413-822-6819 | Fax: | ||||||||
Primary Practice Address | 1716 FAIRWAY TRCE PALMETTO, FL 34221-5920 United States Phone: 413-822-6819 | Fax: | ||||||||
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