Tyana Lashun Mizell BSW, MSCJ

NPI 1285903559 - Health Educator - 174H00000X

NPI Details
NPI 1285903559
Gender Female
Enumeration Date 12/15/2011
Last Updated 12/15/2011
Entity Type Individual
Active Over 4 years ago
Practice Location
982 FOREST PATH
STONE MTN GA, 30088-2609, US
Phone (770) 875-0721
Fax (770) 676-5860
Business Location
982 FOREST PATH
STONE MTN GA, 30088-2609, US
Phone (770) 875-0721
Fax (770) 676-5860
Toxanomy
Taxonomy Code 174H00000X
License State
License Number
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According to our database, Ms. Tyana Lashun Mizell BSW, MSCJ NPI is 1285903559, taxonomy code is 174H00000X Tyana Lashun Mizell BSW, MSCJ physically located at 982 Forest Path, Stone Mtn GA, 30088-2609. NPI Number Tyana Lashun Mizell BSW, MSCJ has the Individual type.

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1285903559 NPI number is provided on an as is basis without warranty of any kind. 1285903559 is maintained by the National Plan & Provider Enumeration System. The contents of Tyana Lashun Mizell BSW, MSCJ are for informational purposes only.