Individual
DR. ANDREA KOZAK MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
16 ROSE GATE DR NE, ATLANTA, GA 30342-4159
(718) 404-7467
Mailing address
16 ROSE GATE DR NE, ATLANTA, GA 30342-4159
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
06/22/2017
Last updated
06/22/2017
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