BRODY LATHEM

VALDOSTA, GA
NPI1386387413
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101Y00000X Counselor
Enumeration Date2022-04-17
Last Update Date2022-04-17
Business Address
BRODY LATHEM
1301 MELODY LN STE B
VALDOSTA, GA 31601-0046
Phone number: 706-844-8023
Mailing Address
BRODY LATHEM
3833 N OAK STREET EXT APT 38
VALDOSTA, GA 31605-1156
Phone number: 706-844-8023
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