Individual
MRS. DE'ZJANA MARIE PHINIEZY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MED
Contact information
Practice address
3643 WALTON WAY EXT BLDG 4, AUGUSTA, GA 30909-6677
(706) 364-1401
Mailing address
3643 WALTON WAY EXT BLDG 4, AUGUSTA, GA 30909-6677
(706) 364-1404
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
12/12/2022
Last updated
12/12/2022
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