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1114054467
MICHAEL W. NIELSEN
RICHMOND, VA
NPI
1114054467
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: VA 0904005604)
Enumeration Date
2007-02-27
Last Update Date
2007-07-08
Business Address
-- MICHAEL W. NIELSEN LCSW
4825 S LABURNUM AVE
RICHMOND, VA 23231-2713
Phone number: 804-222-2607
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Mailing Address
-- MICHAEL W. NIELSEN LCSW
10299 WOODMAN RD
GLEN ALLEN, VA 23060-4419
Phone number: 804-727-8500
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