Individual
MARIA NICOLE WARNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, MSW
Contact information
Practice address
614 GLEN WAY NE, BROOKHAVEN, GA 30319-3032
(813) 528-5024
Mailing address
614 GLEN WAY NE, BROOKHAVEN, GA 30319-3032
(813) 528-5024
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
SW19915
FL
Other
Enumeration date
05/04/2021
Last updated
08/11/2022
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