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1164589156
STEPHANIE L. EZUST
DECATUR, GA
NPI
1164589156
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103T00000X Psychologist
(Licence: GA 1513)
Enumeration Date
2007-01-02
Last Update Date
2016-09-27
Business Address
Dr. STEPHANIE L. EZUST Ph.D.
317 W HILL ST SUITE 101
DECATUR, GA 30030-4319
Phone number: 404-371-9171
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Mailing Address
Dr. STEPHANIE L. EZUST Ph.D.
PO BOX 1192
DECATUR, GA 30031-1192
Phone number: 404-371-9171
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