SOPHIA VAUGHN

LAGRANGE, GA
NPI1912555103
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy171W00000X Contractor
Additional Taxonomies171M00000X Case Manager/Care Coordinator
Enumeration Date2019-08-30
Last Update Date2019-08-30
Business Address
Mrs. SOPHIA VAUGHN
122 GORDON COMMERCIAL DR STE C
LAGRANGE, GA 30240-5754
Phone number: 706-845-4054
Mailing Address
Mrs. SOPHIA VAUGHN
122 GORDON COMMERCIAL DR STE C
LAGRANGE, GA 30240-5754
Phone number: 706-845-4054