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1386387413
BRODY LATHEM
VALDOSTA, GA
NPI
1386387413
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2022-04-17
Last Update Date
2022-04-17
Business Address
BRODY LATHEM
1301 MELODY LN STE B
VALDOSTA, GA 31601-0046
Phone number: 706-844-8023
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Mailing Address
BRODY LATHEM
3833 N OAK STREET EXT APT 38
VALDOSTA, GA 31605-1156
Phone number: 706-844-8023
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