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General NPI Number Information
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NPI Number | 1083045348
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Entity Type | Organization
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Legal Business Name | MICHELE V. NELSON L.C.S.W. LLC
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Dates
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Enumeration Date | 12/11/2013
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Last Update Date | 04/07/2025
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Provider Practice Location Address
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Address Line | 380 COLLEGE HILL DR
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City | BATON ROUGE
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State | LA
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Zip | 70808-4943
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Country | US
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Telephone | 504-832-4940
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Fax | 504-841-2232
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Provider Business Mailing Address
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Address Line | 5261 HIGHLAND RD # 199
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City | BATON ROUGE
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State | LA
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Zip | 70808-6547
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Country | US
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Telephone | 504-832-4940
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Fax | 504-841-2232
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Authorized Official
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Title or Position | OWNER
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Name | MICHELE VIDRINE NELSON
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Credential |
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Telephone | 504-832-4940
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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