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1346513900
IDA M NELSON
RICHMOND, VA
NPI
1346513900
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: VA 0710102443)
Enumeration Date
2012-02-13
Last Update Date
2012-02-13
Business Address
-- IDA M NELSON CSAC
2000 MECKLENBURG ST
RICHMOND, VA 23223-3716
Phone number: 804-249-1055
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Mailing Address
-- IDA M NELSON CSAC
PO BOX 793
MECHANICSVILLE, VA 23111-0793
Phone number: 804-363-8964
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