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Individual

KIZZY CHAMPION-MASSEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
341 PONCE DE LEON AVE NE, ATLANTA, GA 30308-2012
(404) 616-1176
(404) 489-6052
Mailing address
341 PONCE DE LEON AVE NE, ATLANTA, GA 30308-2012
(404) 616-1176
(404) 489-6052

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary

Other

Enumeration date
10/29/2020
Last updated
10/29/2020
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