Individual
MR. MUDDY MUKORO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2459 ROOSEVELT HWY STE B17, ATLANTA, GA 30337-5592
(470) 506-5035
Mailing address
5560 TWIN LAKES DR, COLLEGE PARK, GA 30349-3792
(404) 207-8202
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
Primary
—
—
Other
Enumeration date
02/20/2024
Last updated
02/20/2024
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