HENRIETTA MAE NELSON

MOORE, OK
NPI1114438058
Professional NameHENRIETTA M STANDS-NELSON
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Additional Taxonomies104100000X Social Worker
Enumeration Date2017-10-18
Last Update Date2017-10-23
Business Address
HENRIETTA MAE NELSON
400 N EASTERN AVE
MOORE, OK 73160-5833
Phone number: 405-659-5858
Mailing Address
HENRIETTA MAE NELSON
PO BOX 7376
MOORE, OK 73153-1376
Phone number: 505-918-3167