Individual
MRS. ELIZABETH WILHELMINA NIESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
1925 E 4TH ST, OTTAWA, OH 45875-1540
(419) 999-2010
(419) 999-6284
Mailing address
1100 SHAWNEE RD, LIMA, OH 45805-3529
(419) 999-2010
(419) 999-6284
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
S.2005431
OH
Other
Enumeration date
10/28/2021
Last updated
10/02/2023
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