Individual
MARY OLUWATOSIN ADEFALU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
122 GORDON COMMERCIAL DR, LAGRANGE, GA 30240-5754
(706) 845-4045
(706) 845-4367
Mailing address
122 GORDON COMMERCIAL DR, LAGRANGE, GA 30240-5754
(706) 845-4045
(706) 845-4367
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC015400
GA
Other
Enumeration date
10/07/2022
Last updated
02/15/2025
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