MS. Tyana Lashun Mizell, BSW, MSCJ

NPI #1285903559 in Stone Mtn, Georgia

Provider Information

NPI Number: 1285903559
Entity Type: Individual
Name: MS. Tyana Lashun Mizell, BSW, MSCJ
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Health Educator
Credential: BSW, MSCJ
Enumeration Date: Dec 15, 2011
Last Updated: Dec 15, 2011

Practice Location

Address: 982 FOREST PATH
City: Stone Mtn
State: Georgia
ZIP Code: 30088-2609
Phone: (770) 875-0721

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Health Educator	174H00000X	Primary

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