Provider Information for 1437416609
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Dr. ROBERT CAROL NIELSEN Ed.D. - LPCC
Sex: Male
NPI: 1437416609
Last Updated: 2012-10-09
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1437416609 | ||||||||
| Enumeration Date | 2012-04-12 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 1919 UNIVERSITY DR N SGC C119 FARGO, ND 58102-1843 United States Phone: 701-231-7676 | Fax:701-231-9785 | ||||||||
| Primary Practice Address | 1919 UNIVERSITY DR N SGC C119 FARGO, ND 58102-1843 United States Phone: 701-231-7676 | Fax:701-231-9785 | ||||||||
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