Individual
MS. LADONNA MARIE JANUARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MFT
Contact information
Practice address
406 GOODALE CT, SAVANNAH, GA 31419-8429
(912) 596-5682
Mailing address
1714 E 59TH ST, SAVANNAH, GA 31404-4726
(912) 596-5682
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
02/02/2021
Last updated
02/02/2021
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