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Individual

MRS. AMY E. MIZE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPE

Contact information

Practice address
654 EASTERN STAR RD, KINGSPORT, TN 37663-3268
(423) 349-4842
(423) 349-4386
Mailing address
PO BOX 278, LIMESTONE, TN 37681-0278
(423) 349-4842
(423) 349-4386

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
PE0000011733
TN

Other

Enumeration date
07/25/2008
Last updated
07/25/2008
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