JERALD JEROME NELSON

MOORHEAD, MN
NPI1629293758
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MN  07373)
Enumeration Date2007-04-16
Last Update Date2007-07-08
Business Address
-- JERALD JEROME NELSON LICSW
2925 20TH ST S
MOORHEAD, MN 56560-5269
Phone number: 701-318-4292
Mailing Address
-- JERALD JEROME NELSON LICSW
13299 WILDFLOWER LN
LAKE PARK, MN 56554-9132
Phone number: 701-318-4292
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