Rosie M Niebuhr
Social Worker, Clinical in Tyler, TX. Individual provider (NPI-1).
NPI number1407487549
StatusActive
Last updated in NPPESJan 28, 2020
Details
- NPI
- 1407487549
- Entity type
- Individual (NPI-1)
- Name
- Rosie M Niebuhr
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 28, 2020
- Certification date
- Jan 28, 2020
- Last updated
- Jan 28, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 17055 | TX | Yes |
Practice location
520 Douglas BlvdTyler, TX 75702-8307
Phone 903-316-2268
Mailing address
2926 Meadow Brook TrlTyler, TX 75701-5101
Phone 903-316-2268
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