BRODY LATHEM

VALDOSTA, GA
NPI1386387413
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101Y00000X Counselor
Enumeration Date2022-04-17
Last Update Date2025-04-01
Business Address
BRODY LATHEM
3833 N OAK STREET EXT
VALDOSTA, GA 31605-1153
Phone number: 229-985-4815
Mailing Address
BRODY LATHEM
3833 N OAK STREET EXT
VALDOSTA, GA 31605-1153
Phone number:
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