Individual
ANITA INIGEZ-BOUZIANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW-C
Contact information
Practice address
607 RONALD REAGAN DR UNIT 236, EVANS, GA 30809-7710
(410) 216-4304
Mailing address
607 RONALD REAGAN DR UNIT 236, EVANS, GA 30809-7710
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
GA
1041C0700X
Clinical Social Worker
Primary
—
MD
Other
Enumeration date
02/17/2021
Last updated
10/03/2023
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