Individual
MRS. LAURIE A BAJALIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
1803 CANTERBURY DR STE C, VALDOSTA, GA 31602-0505
(229) 588-4051
(229) 588-4051
Mailing address
1803 CANTERBURY DR STE C, VALDOSTA, GA 31602-0505
(229) 588-4051
(229) 588-4051
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MFT000981
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003227872C
—
GA
Enumeration date
08/03/2006
Last updated
03/04/2024
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