| Bret J. Nielson, Llc | |
|
1518 Walnut St Ste 1100 Philadelphia PA 19102-3406 | |
| (224) 408-0390 | |
| Not Available |
| Full Name | Bret J. Nielson, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1518 Walnut St Ste 1100, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Bret John Nielson (DIRECTOR) |
| Authorized Official Contact | 2244080390 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bret J. Nielson, Llc 1603 Orrington Ave Ste 600 Evanston IL 60201-3860 Ph: (224) 408-0390 | Bret J. Nielson, Llc 1518 Walnut St Ste 1100 Philadelphia PA 19102-3406 Ph: (224) 408-0390 |
| NPI Number | 1326644139 |
|---|---|
| Provider Enumeration Date | 12/07/2020 |
| Last Update Date | 11/11/2022 |
| Certification Date | 11/11/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326644139 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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