Individual
MYKIESHIA AYANIAH SERRIA SEIGLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6173 REDTOP LOOP, FAIRBURN, GA 30213-4421
(678) 363-3562
Mailing address
1620 OLDE SPRING TRL, LITHIA SPRINGS, GA 30122-2749
(678) 362-3562
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/08/2020
Last updated
08/08/2020
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