Brody Lathem
Brody Lathem is a Counselor in Valdosta, Georgia. Practices as a sole proprietor. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
3833 N Oak Street ExtValdosta, GA 31605-1153
Phone: (229) 985-4815
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Specialties & licences
| Counselor (primary) | Taxonomy 101Y00000X |
|---|
Record details
| NPI number | 1386387413 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | April 17, 2022 |
| Last updated in NPPES | April 1, 2025 |
| Certification date | April 1, 2025 |
| Mailing address | 3833 N Oak Street Ext, Valdosta, GA 31605-1153 |
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