Individual
MATTILYN NEROWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
105 WESTPARK DR STE B-2, ATHENS, GA 30606-3174
(678) 263-3080
Mailing address
154 EATSANOLLEE ROAD, EATSANOLLEE, GA 30538
(864) 915-6251
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
MSW011192
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
301100
—
SC
Enumeration date
07/18/2022
Last updated
03/22/2024
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