LAVORRIS WHITE

MACON, GA
NPI1205207529
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101Y00000X Counselor
(Licence: GA  0945091332)
Enumeration Date2015-10-13
Last Update Date2015-10-13
Business Address
Mr. LAVORRIS WHITE
205 ASHTON CT
MACON, GA 31220-8337
Phone number: 478-960-1856
Mailing Address
Mr. LAVORRIS WHITE
205 ASHTON COURT
MACON, GA 31220
Phone number: 478-960-1856
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