Individual
MRS. ANITA NIEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
175 GWINNETT DR, LAWRENCEVILLE, GA 30046-8444
(678) 209-2394
(678) 212-6343
Mailing address
175 GWINNETT DR, LAWRENCEVILLE, GA 30046-8444
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
MSW006294
GA
Other
Enumeration date
10/29/2014
Last updated
09/14/2015
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