Individual
SHIRLEY ZISER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
36TH MEDICAL GROUP, UNIT 14010 BLDG. 26012, APO AP, GU 96543-4003
(315) 366-3326
Mailing address
UNIT 14010, APO, AP 96543-4010
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
5070
KY
1041C0700X
Clinical Social Worker
Primary
5070
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
610661458
TAX ID
KY
Enumeration date
07/24/2013
Last updated
08/28/2025
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