MRS. Tay Angell Nielsen, LCSW

NPI #1083824270 in Pearl, Mississippi

Provider Information

NPI Number: 1083824270
Entity Type: Individual
Name: MRS. Tay Angell Nielsen, LCSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Credential: LCSW
Enumeration Date: May 23, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 559 CLUBHOUSE DR
City: Pearl
State: Mississippi
ZIP Code: 39208-9506
Phone: (601) 932-0958

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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