Individual
RACHAEL LAUREN LUSTFELDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2263 PINEVIEW DR, VALDOSTA, GA 31602-7316
(229) 433-7000
(229) 433-7003
Mailing address
3524 LENOX DR, VALDOSTA, GA 31605-7405
(229) 740-5853
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW008386
GA
Other
Enumeration date
02/13/2023
Last updated
02/13/2023
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