Provider Information for 1588930119
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Mrs. MARIA MYSLEWICZ-WEESE LCSW
Sex: Female
NPI: 1588930119
Last Updated: 2012-03-28
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1588930119 | ||||||||
| Enumeration Date | 2012-03-28 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 103 CARLISLE PL SAINT SIMONS ISLAND, GA 31522-5383 United States Phone: 912-506-6983 | Fax: | ||||||||
| Primary Practice Address | 7 SAINT ANDREWS CT BRUNSWICK, GA 31520-6764 United States Phone: 912-267-0774 | Fax: | ||||||||
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