ISHAQ SAYYID MUMIN

ROSWELL, GA
NPI1265169551
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: GA  1416)
Enumeration Date2022-08-05
Last Update Date2022-08-05
Business Address
ISHAQ SAYYID MUMIN
419 E CROSSVILLE RD
ROSWELL, GA 30075-5816
Phone number: 470-704-5086
Mailing Address
ISHAQ SAYYID MUMIN
419 E CROSSVILLE RD
ROSWELL, GA 30075-5816
Phone number: 470-704-5086
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