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Organization
LIFETIME COUNSELING SERVICE & MANAGEMENT SERVICES
Active
Organization
LIFETIME COUNSELING SERVICE & MANAGEMENT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LAFRANCINE WELLS BRADFORD LICENSE MFT (OWNER)
(229) 630-2691
Entity
Organization
Contact information
Practice address
2905 BEMISS RD, VALDOSTA, GA 31602-7007
(229) 630-2691
(888) 974-8762
Mailing address
PO BOX 2961, VALDOSTA, GA 31604-2961
(229) 630-2691
(888) 974-8762
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MFT001200
GA
Other
Enumeration date
12/08/2014
Last updated
12/08/2014
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