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1710452032
MICHAEL NELSON
PHOENIX, AZ
NPI
1710452032
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Additional Taxonomies
1041C0700X Social Worker, Clinical
Enumeration Date
2018-10-13
Last Update Date
2018-10-13
Business Address
MICHAEL NELSON
2102 W BETHANY HOME RD
PHOENIX, AZ 85015-1935
Phone number: 602-774-4745
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Mailing Address
MICHAEL NELSON
21 N FRASER DR
MESA, AZ 85203-8805
Phone number: 520-360-9594
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