Individual
NICOLE MALISZEWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW-CP
Contact information
Practice address
211 LAUREL ST, CONWAY, SC 29526-5125
(843) 484-4030
Mailing address
1445 LEATHERMAN RD, CONWAY, SC 29527-6799
(860) 485-3841
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
011126
CT
1041C0700X
Clinical Social Worker
Primary
14188
SC
Other
Enumeration date
11/11/2020
Last updated
06/20/2023
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