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1457076739
OSAZE SHABAZZ
ATLANTA, GA
NPI
1457076739
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2022-10-10
Last Update Date
2022-10-10
Business Address
OSAZE SHABAZZ
2823 MOUNT WILKINSON PKWY SE # 13
ATLANTA, GA 30339-3631
Phone number: 678-756-4164
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Mailing Address
OSAZE SHABAZZ
PO BOX 20379
ATLANTA, GA 30325-0379
Phone number: 678-756-4164
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