Individual
MS. CORI MIZELL ARCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M. ED.
Contact information
Practice address
3690 WISTERIA LN SE, SMYRNA, GA 30082-3488
(501) 545-3837
Mailing address
3690 WISTERIA LN SE, SMYRNA, GA 30082-3488
(501) 545-3837
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
06/01/2020
Last updated
06/01/2020
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