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Kendra Elise Nelson

Social Worker in Lodi, CA. Individual provider (NPI-1).

NPI number1164087599
StatusActive
Last updated in NPPESFeb 28, 2025

Details

NPI
1164087599
Entity type
Individual (NPI-1)
Name
Kendra Elise Nelson
Sex
Female
Sole proprietor
No
Enumeration date
May 1, 2019
Certification date
Feb 28, 2025
Last updated
Feb 28, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
104100000X Social WorkerASW73318CAYes

Practice location

3 S Pacific Ave
Lodi, CA 95242-3020

Phone 209-331-7822

Mailing address

13451 N Extension Rd
Lodi, CA 95242-9249

Phone 209-331-7822

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