Individual
OSAZE SHABAZZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2823 MOUNT WILKINSON PKWY SE # 13, ATLANTA, GA 30339-3631
(678) 756-4164
Mailing address
PO BOX 20379, ATLANTA, GA 30325-0379
(678) 756-4164
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/10/2022
Last updated
10/10/2022
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