Mary C Nilsson, MS
Social Worker, Clinical in Whitehall, WI. Individual provider (NPI-1).
NPI number1902802499
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1902802499
- Entity type
- Individual (NPI-1)
- Name
- Mary C Nilsson
- Credential
- MS
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 21, 2005
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 4085 | WI | Yes |
Practice location
36024 Park StWhitehall, WI 54773-8626
Phone 715-538-2383
Mailing address
1836 South AveLa Crosse, WI 54601-5429
Phone 608-782-7300
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