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Katelyn Anne Nelson

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

NPI number1669998290
StatusActive
Last updated in NPPESAug 15, 2017

Details

NPI
1669998290
Entity type
Individual (NPI-1)
Name
Katelyn Anne Nelson
Sex
Female
Sole proprietor
No
Enumeration date
Aug 15, 2017
Last updated
Aug 15, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
104100000X Social Worker77372CAYes

Practice location

6707 Embarcadero Dr
Stockton, CA 95219-3382

Phone 209-956-4240

Mailing address

6707 Embarcadero Dr
Stockton, CA 95219-3382

Phone 209-956-4240

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