Individual
DEONA LASHAUN MIMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
1726 POPLAR ST APT G6, VALDOSTA, GA 31601-4382
(864) 612-7820
Mailing address
1726 POPLAR ST APT G6, VALDOSTA, GA 31601-4382
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
04/26/2023
Last updated
04/26/2023
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