MRS. Tina Marie Niziurski, LCSW

NPI #1285922773 in Suwanee, Georgia

Provider Information

NPI Number: 1285922773
Entity Type: Individual
Name: MRS. Tina Marie Niziurski, LCSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Credential: LCSW
Enumeration Date: Jul 18, 2011
Last Updated: Jul 18, 2011

Practice Location

Address: 3660 LAKE PASS LN
City: Suwanee
State: Georgia
ZIP Code: 30024-8457
Phone: (770) 315-5401

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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