AUTUMN KAYLEN MIZE

WAKE FOREST, NC
NPI1881430023
Former NameAUTUMN STEWART
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: NC  A19989)
Enumeration Date2024-07-08
Last Update Date2024-07-08
Business Address
AUTUMN KAYLEN MIZE LCMHC-A
1314 ECOLA VALLEY CT
WAKE FOREST, NC 27587-4915
Phone number: 984-212-2757
Mailing Address
AUTUMN KAYLEN MIZE LCMHC-A
1314 ECOLA VALLEY CT
WAKE FOREST, NC 27587-4915
Phone number: 984-212-2757
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