STACEY NELSON

FARGO, ND
NPI1215346259
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: ND  1740)
Enumeration Date2014-08-04
Last Update Date2014-08-04
Business Address
-- STACEY NELSON LAC
4215 9TH AVE S
FARGO, ND 58103-2018
Phone number: 701-373-8667
Mailing Address
-- STACEY NELSON LAC
4215 9TH AVE S
FARGO, ND 58103-2018
Phone number: 701-373-8667
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