Individual
MILDRED ITASKA BOROWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3790 NORTH HIGHWAY 41, SUITE A, VALDOSTA, GA 31602
(229) 262-1000
(229) 262-1085
Mailing address
113 MAPLE ST, THOMASVILLE, GA 31792-4120
(229) 740-2771
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC007236
GA
Other
Enumeration date
01/25/2019
Last updated
01/25/2019
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