Niziurski, Tina Marie

Niziurski, Tina Marie is an sole proprietor health care provider with primary practice located at 3660 Lake Pass Ln , Suwanee GA 30024-8457. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Niziurski, Tina Marie can be contacted via phone (770) 315-5401.

Contact Information

Primary practice address
3660 Lake Pass Ln Suwanee GA 30024-8457
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X CSW003870 Georgia

Profile Details

NPI number 1285922773
LBN Legal business name Niziurski, Tina Marie
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 18th, 2011
Last updated Jul 18th, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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