Individual
LIZA CUEVAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
604 WASHINGTON ST NW, GAINESVILLE, GA 30501-8544
(678) 256-4563
Mailing address
604 WASHINGTON ST NW, GAINESVILLE, GA 30501-8544
(678) 256-4563
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
MSW012288
GA
Other
Enumeration date
04/21/2025
Last updated
04/21/2025
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