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Individual

MR. KEITH EDWARD NIAGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
L.C.S.W.

Contact information

Practice address
1 OGLETHORPE PROFESSIONAL BLVD, SUITE 205, SAVANNAH, GA 31406
(912) 352-7638
(912) 352-7492
Mailing address
PO BOX 16830, SAVANNAH, GA 31416-3530
(912) 352-7638
(912) 352-7492

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW000973
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00753244A
GA
Enumeration date
01/02/2007
Last updated
03/11/2013
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