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1770059313
CRYSTAL JOY MICKEN
BAINBRIDGE, GA
NPI
1770059313
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
Additional Taxonomies
225C00000X Rehabilitation Counselor
Enumeration Date
2018-10-22
Last Update Date
2019-06-17
Business Address
CRYSTAL JOY MICKEN LPC, CRC
961 HALL ST
BAINBRIDGE, GA 39819-4645
Phone number: 229-726-4714
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Mailing Address
CRYSTAL JOY MICKEN LPC, CRC
961 HALL ST
BAINBRIDGE, GA 39819-4645
Phone number: 229-726-4714
Copy
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