Most Relevant Information
Provider Data
| NPI Number: | 1003337676 |
| Provider Name: | MARY NELMS CAP, ICADC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/04/2017 |
| Last Updated: | 07/21/2022 |
Provider Practice Location
2832 NE 13TH AVE
POMPANO BEACH
FL
330646805
Practice Location Phone/Fax
| Phone: | 7543676768 |
| Fax: |
Provider Mailing Location
2832 NE 13TH AVE
POMPANO BEACH
FL
330646805
Provider Mailing Phone/Fax
| Phone: | 7543676768 |
| Fax: |