STEPHANIE L. EZUST, PH.D., PC
Social Work at Hill St, Decatur, GA

License number
Georgia 1513
Category
Social Work
Type
Clinical
Owner
Name: DR. STEPHANIE L. EZUST PH.D.
Title: OWNER
Phone: (404) 371-9171
Address
Address
317 W Hill St SUITE 101, Decatur, GA 30030
National Provider ID: 1821212341
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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STEPHANIE L. EZUST, PH.D., PC

PO Box 160, Decatur, GA 30031

Registration:
Dec 9, 1996
State ID:
K638415
Business type:
Domestic Professional Corporation
Secretary:
L Stephanie Ezust (Secretary), PO Box 160, Decatur, GA 30031 (Physical)
Agent:
Stephanie L. Ezust,317 W Hl St SUITE 101, Decatur, GA (Physical)

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