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1023120086
KEITH NELSON
SALEM, OR
NPI
1023120086
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: OR L3802)
Enumeration Date
2006-08-31
Last Update Date
2007-07-09
Business Address
-- KEITH NELSON LCSW
150 KINGWOOD AVE NW
SALEM, OR 97304-4030
Phone number: 503-588-5816
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Mailing Address
-- KEITH NELSON LCSW
1626 GOLDCREST AVE NW
SALEM, OR 97304-2006
Phone number: 503-362-5083
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