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Individual

ANDREA MARIE MIZELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2347 ROSSVILLE BLVD, CHATTANOOGA, TN 37408
(423) 265-3122
Mailing address
2347 ROSSVILLE BLVD, CHATTANOOGA, TN 37408

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary

Other

Enumeration date
05/02/2007
Last updated
07/08/2007
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