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1538419031
NELSON S WILLIS
JACKSONVILLE, FL
NPI
1538419031
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: FL SW9706)
Enumeration Date
2012-09-12
Last Update Date
2014-02-10
Business Address
Mr. NELSON S WILLIS LCSW
2392 EDGEWOOD AVE N
JACKSONVILLE, FL 32254-1725
Phone number: 904-781-0600
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Mailing Address
Mr. NELSON S WILLIS LCSW
3090 AARON COVE COURT
JACKSONVILLE, FL 32224
Phone number: 904-781-0600
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