Individual
MATTHEW RASKIND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
445 WINN WAY, DECATUR, GA 30030
(404) 294-3834
Mailing address
690 COURTENAY DR NE, ATLANTA, GA 30306-3421
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
MSW006226
GA
Other
Enumeration date
10/24/2017
Last updated
08/08/2018
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