Individual
LATRINA AVANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
164 MAHONEY LANE, FORT VALLEY, GA 31030
(478) 973-0698
Mailing address
164 MAHONEY LN, FORT VALLEY, GA 31030-9411
(478) 973-0698
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/16/2017
Last updated
02/16/2017
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