Tina Marie Niziurski LCSW

NPI 1285922773 - Social Worker - 1041C0700X

NPI Details
NPI 1285922773
Gender Female
Enumeration Date 07/18/2011
Last Updated 07/18/2011
Entity Type Individual
Active Over 6 years ago
Practice Location
3660 LAKE PASS LN
SUWANEE GA, 30024-8457, US
Phone (770) 315-5401
Fax
Business Location
3660 LAKE PASS LANE
SUWANEE GA, 30024-8457, US
Phone (770) 315-5401
Fax
Toxanomy
Taxonomy Code 1041C0700X
License State Georgia
License Number CSW003870
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According to our database, Mrs. Tina Marie Niziurski LCSW NPI is 1285922773, taxonomy code is 1041C0700X and license number is CSW003870, license state is located at Georgia. Tina Marie Niziurski LCSW physically located at 3660 Lake Pass Ln, Suwanee GA, 30024-8457. NPI Number Tina Marie Niziurski LCSW has the Individual type.

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1285922773 NPI number is provided on an as is basis without warranty of any kind. 1285922773 is maintained by the National Plan & Provider Enumeration System. The contents of Tina Marie Niziurski LCSW are for informational purposes only.