Tay Angell Nielsen LCSW

NPI 1083824270 - Social Worker - 1041C0700X

NPI Details
NPI 1083824270
Gender Female
Enumeration Date 05/23/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
559 CLUBHOUSE DR
PEARL MS, 39208-9506, US
Phone (601) 932-0958
Fax
Business Location
559 CLUBHOUSE DR
PEARL MS, 39208-9506, US
Phone (601) 932-0958
Fax
Toxanomy
Taxonomy Code 1041C0700X
License State Mississippi
License Number C5559
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According to our database, Mrs. Tay Angell Nielsen LCSW NPI is 1083824270, taxonomy code is 1041C0700X and license number is C5559, license state is located at Mississippi. Tay Angell Nielsen LCSW physically located at 559 Clubhouse Dr, Pearl MS, 39208-9506. NPI Number Tay Angell Nielsen LCSW has the Individual type.

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1083824270 NPI number is provided on an as is basis without warranty of any kind. 1083824270 is maintained by the National Plan & Provider Enumeration System. The contents of Tay Angell Nielsen LCSW are for informational purposes only.