Provider Information for 1215062252
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Ms. PATRICIA A NELSON LCSW
Sex: Female
NPI: 1215062252
Last Updated: 2013-11-14
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1215062252 | ||||||||
| Enumeration Date | 2007-02-22 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 1519 NYE ROAD LYONS, NY 14489 United States Phone: 315-946-5722 | Fax: | ||||||||
| Primary Practice Address | 1519 NYE ROAD WAYNE BEHAVIORAL HEALTH NETWORK LYONS, NY 14489 United States Phone: 315-946-5722 | Fax:315-946-7066 | ||||||||
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