Individual
ANISHA TYAGI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSWA
Contact information
Practice address
5720 CREEDMOOR RD STE 201, RALEIGH, NC 27612-2383
(919) 977-6018
Mailing address
5720 CREEDMOOR RD STE 201, RALEIGH, NC 27612-2383
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
P022206
NC
Other
Enumeration date
06/14/2025
Last updated
06/14/2025
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