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1457943060
KIZZY MAE WINGFIELD
ATHENS, GA
NPI
1457943060
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: GA 1440)
Enumeration Date
2021-02-04
Last Update Date
2021-02-04
Business Address
Ms. KIZZY MAE WINGFIELD M.Ed, CADC II
250 BRAY ST
ATHENS, GA 30601-2203
Phone number: 706-389-6789
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Mailing Address
Ms. KIZZY MAE WINGFIELD M.Ed, CADC II
375 HAWTHORNE EXT
ATHENS, GA 30606-2515
Phone number: 706-338-1046
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