STEPHANIE L. EZUST, PH.D., PC

ATLANTA, GA
NPI1821212341
Entity TypeOrganization
Authorized ContactSTEPHANIE L. EZUST
Owner
404-371-9171
Organization Subpart ?No
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: GA  1513)
Enumeration Date2007-04-13
Last Update Date2020-02-27
Business Address
STEPHANIE L. EZUST, PH.D., PC
1348 PONCE DE LEON AVE NE
ATLANTA, GA 30306-4604
Phone number: 404-371-9171
Mailing Address
STEPHANIE L. EZUST, PH.D., PC
PO BOX 1192
DECATUR, GA 30031-1192
Phone number: 404-371-9171
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