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Individual

MUPENZI EVANS SAFARI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1304 OLD COUNTRYSIDE CIR W, STONE MOUNTAIN, GA 30083-5834
(404) 578-5096
Mailing address
1304 OLD COUNTRYSIDE CIR W, STONE MOUNTAIN, GA 30083-5834
(404) 578-5096

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary

Other

Enumeration date
02/02/2021
Last updated
02/02/2021
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