Individual
MINOU RYSIEW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Contact information
Practice address
1551 JENNINGS MILL RD UNIT 3200A, RESOURCE VALLEY, WATKINSVILLE, GA 30677-7282
(706) 207-6611
Mailing address
490 MAPLE FORGE DR, ATHENS, GA 30606-1166
(706) 207-6611
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW003390
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
934296907A
—
GA
Enumeration date
01/15/2007
Last updated
03/09/2015
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