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1972665305
MICKIE G NELSON
SANTA ROSA, CA
NPI
1972665305
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA 15777)
Enumeration Date
2006-12-14
Last Update Date
2007-07-08
Business Address
-- MICKIE G NELSON lcsw
401 BICENTENNIAL WAY
SANTA ROSA, CA 95403-2149
Phone number: 707-571-3737
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Mailing Address
-- MICKIE G NELSON lcsw
401 BICENTENNIAL WAY
SANTA ROSA, CA 95403-2149
Phone number: 707-571-3737
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