Individual
NISY NARAYANA JAYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3085 TERRAMAR DR, CHAMBLEE, GA 30341-4612
(404) 663-5722
Mailing address
PO BOX 942144, ATLANTA, GA 31141-2144
(404) 663-5722
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW003628
GA
Other
Enumeration date
08/18/2021
Last updated
08/18/2021
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