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1114326998
DAVID THOMAS NILSEN
FORT MEADE, SD
NPI
1114326998
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149023208)
Additional Taxonomies
104100000X Social Worker
Enumeration Date
2014-08-18
Last Update Date
2025-01-02
Business Address
DAVID THOMAS NILSEN
113 COMANCHE RD
FORT MEADE, SD 57741-1002
Phone number: 605-347-2511
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Mailing Address
DAVID THOMAS NILSEN
816 FEATHERSTONE RD
ROCKFORD, IL 61107-6300
Phone number: 815-227-0081
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