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1215300231
ANTONIA MIZELL
DECATUR, GA
NPI
1215300231
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: GA LPC008556)
Enumeration Date
2015-11-13
Last Update Date
2019-10-15
Business Address
ANTONIA MIZELL MA, LPC
445 WINN WAY
DECATUR, GA 30030-1707
Phone number: 404-294-3745
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Mailing Address
ANTONIA MIZELL MA, LPC
5416 STIRRUP WAY
POWDER SPRINGS, GA 30127-4083
Phone number: 305-788-6886
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