Individual
NISA JANAI SEALS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
93 LAURELWOOD LN, DALLAS, GA 30157-1664
(760) 819-9745
Mailing address
93 LAURELWOOD LN, DALLAS, GA 30157-1664
(760) 819-9745
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
MSW0111572
GA
Other
Enumeration date
09/07/2024
Last updated
10/21/2024
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