DIANA LYNN EZELL

COLUMBUS, GA
NPI1386256097
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2020-08-24
Last Update Date2020-08-24
Business Address
DIANA LYNN EZELL S/T, MS
2100 COMER AVE
COLUMBUS, GA 31904-8725
Phone number: 762-822-0087
Mailing Address
DIANA LYNN EZELL S/T, MS
1300 ADIE ST
PHENIX CITY, AL 36867-6125
Phone number: 762-822-0087