Individual
MS. NIYA ARIEN BURNETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3953 SCOTT ST, AUGUSTA, GA 30909-9592
(706) 589-6877
Mailing address
3953 SCOTT ST, AUGUSTA, GA 30909-9592
(706) 589-6877
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW007720
GA
Other
Enumeration date
09/23/2021
Last updated
09/23/2021
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