Individual
MR. ROBERT J NIEZWAAG JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
1110 MAJOR AVE # M, RIVERTON, WY 82501-2342
(307) 856-6587
(307) 856-2668
Mailing address
1110 MAJORS AVE., RIVERTON, WY 82501
(307) 856-6587
(307) 856-2668
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
06/08/2012
Last updated
07/21/2022
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