Individual
MISS ERICA GAIL MORTONSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3525 RIVER CHASE DR, VALDOSTA, GA 31602-0801
(229) 561-3032
Mailing address
3525 RIVER CHASE DRIVE, VALDOSTA, GA 31602
(229) 561-3032
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/09/2015
Last updated
03/09/2015
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