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Individual

NIKITA SUZANNE MORENCY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
3492 HIGHWAY 5 APT 101, DOUGLASVILLE, GA 30135-6909
(678) 739-9348
Mailing address
3492 HIGHWAY 5 APT 101, DOUGLASVILLE, GA 30135-6909

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW005602
GA

Other

Enumeration date
11/19/2020
Last updated
10/10/2022
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