Individual
MISS MIMI Y ENGLISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2553 TERRACE TRL, DECATUR, GA 30035-3514
(404) 438-8791
Mailing address
2553 TERRACE TRL, DECATUR, GA 30035-3514
(404) 438-8791
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/10/2019
Last updated
06/10/2019
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