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1336785914
LATONIA DEMETRIA WATKINS
VALDOSTA, GA
NPI
1336785914
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: GA LPC010112)
Enumeration Date
2019-11-19
Last Update Date
2019-11-19
Business Address
LATONIA DEMETRIA WATKINS
2405 BEMISS RD
VALDOSTA, GA 31602-1936
Phone number: 229-333-2351
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Mailing Address
LATONIA DEMETRIA WATKINS
2405 BEMISS RD
VALDOSTA, GA 31602-1936
Phone number: 229-333-2351
Copy
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