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1720722556
MIA BISHOP
BROOKHAVEN, GA
NPI
1720722556
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: GA APC008360)
Enumeration Date
2022-04-27
Last Update Date
2022-04-27
Business Address
MIA BISHOP
2801 BUFORD HWY NE STE T60
BROOKHAVEN, GA 30329-2145
Phone number: 678-701-7246
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Mailing Address
MIA BISHOP
3959 OAK PL
DOUGLASVILLE, GA 30135-4360
Phone number:
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