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1831528967
MARISSA EZELL
ROSWELL, GA
NPI
1831528967
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: GA CSW006017)
Enumeration Date
2013-11-08
Last Update Date
2020-08-24
Business Address
Ms. MARISSA EZELL LCSW, RPT
11285 ELKINS RD UNIT K1
ROSWELL, GA 30076-1259
Phone number: 678-756-8240
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Mailing Address
Ms. MARISSA EZELL LCSW, RPT
1635 ADAIR BLVD
CUMMING, GA 30040-7825
Phone number: 678-756-8240
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