Individual
MR. DANIEL JOHN NIEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1629 FERN CREEK RD NE, CONYERS, GA 30013-1169
(201) 213-4903
Mailing address
1629 FERN CREEK RD NE, CONYERS, GA 30013-1169
(201) 213-4903
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SL05665400
NJ
Other
Enumeration date
08/27/2012
Last updated
09/09/2021
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