Individual
DR. LAFILS ANN RIVERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
708 GOODGE ST, CLAXTON, GA 30417-1529
(912) 433-4599
Mailing address
708 GOODGE ST, CLAXTON, GA 30417-1529
(912) 433-4500
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC006580
GA
Other
Enumeration date
12/08/2020
Last updated
12/08/2020
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