Individual
NISU HERRERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1967 LAKESIDE PKWY, TUCKER, GA 30084-5867
(404) 327-5820
Mailing address
403 S MCDONOUGH ST, DECATUR, GA 30030-3721
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW009758
GA
Other
Enumeration date
10/28/2021
Last updated
09/18/2025
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