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1346704152
MILDRED ITASKA BOROWSKI
VALDOSTA, GA
NPI
1346704152
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: GA LPC007236)
Enumeration Date
2019-01-25
Last Update Date
2019-01-25
Business Address
MILDRED ITASKA BOROWSKI LPC
3790 NORTH HIGHWAY 41 SUITE A
VALDOSTA, GA 31602
Phone number: 229-262-1000
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Mailing Address
MILDRED ITASKA BOROWSKI LPC
113 MAPLE ST
THOMASVILLE, GA 31792-4120
Phone number: 229-740-2771
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