Brody Lathem

NPI #1386387413 in Valdosta, Georgia

Provider Information

NPI Number
1386387413
Entity Type
Individual
Name
Brody Lathem
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor
Enumeration Date
Apr 17, 2022
Last Updated
Apr 1, 2025

Practice Location

Address
3833 N OAK STREET EXT
State
Georgia
ZIP Code
31605-1153
Phone
(229) 985-4815

Specialties & Taxonomy Codes

Specialty
Counselor

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