Individual
LA'TRINA A O'NEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1102 SMITH AVE, THOMASVILLE, GA 31792-5739
(229) 225-4335
(229) 225-4374
Mailing address
413 TANGLEWOOD DR, THOMASVILLE, GA 31792-6872
(229) 630-9948
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MFT001028
GA
Other
Enumeration date
04/07/2008
Last updated
04/07/2008
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