Blythe Ellen Nelson, LICSW
NPI #1003156761 in Coon Rapids, Minnesota
Provider Information
- NPI Number
- 1003156761
- Entity Type
- Individual
- Name
- Blythe Ellen Nelson, LICSW
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Credential
- LICSW
- Enumeration Date
- Feb 18, 2013
- Last Updated
- Jun 30, 2022
Practice Location
- Address
- 9055 SPRINGBROOK DR NW
- City
- Coon Rapids
- State
- Minnesota
- ZIP Code
- 55433-5841
- Phone
- (763) 780-9155
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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