Individual
MILDRED C LAPEZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNS/PMH
Contact information
Practice address
1335 N 5TH STREET EXT, CORDELE, GA 31015-3753
(229) 276-2367
Mailing address
415 N JACKSON ST, PO DRAWER 1348, AMERICUS, GA 31709-3015
(229) 931-2470
(229) 931-2470
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
077104
GA
Other
Enumeration date
01/19/2011
Last updated
01/19/2011
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