MIKLE SOUTH

DECATUR, GA
NPI1306198262
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: UT  6841090-2501)
Enumeration Date2012-10-02
Last Update Date2022-02-21
Business Address
MIKLE SOUTH PhD
1551 SHOUP CT
DECATUR, GA 30033-4607
Phone number: 404-727-8350
Mailing Address
MIKLE SOUTH PhD
1551 SHOUP CT
DECATUR, GA 30033-4607
Phone number: 404-727-8350
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