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1467077032
KERRY LEON MIZELL
NEWPORT NEWS, VA
NPI
1467077032
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: VA 0701008557)
Enumeration Date
2020-06-10
Last Update Date
2020-06-10
Business Address
Mr. KERRY LEON MIZELL LPC
200 POPLAR AVE
NEWPORT NEWS, VA 23607-5530
Phone number: 757-715-4566
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Mailing Address
Mr. KERRY LEON MIZELL LPC
200 POPLAR AVE
NEWPORT NEWS, VA 23607-5530
Phone number: 757-715-4566
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