Individual
LATONIA DEMETRIA WATKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2405 BEMISS RD, VALDOSTA, GA 31602-1936
(229) 333-2351
(229) 333-2353
Mailing address
2405 BEMISS RD, VALDOSTA, GA 31602-1936
(229) 333-2351
(229) 333-2353
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC010112
GA
Other
Enumeration date
11/19/2019
Last updated
11/19/2019
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