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Individual

DR. CATHERINE THERESA REVAK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DSW, LCSW

Contact information

Practice address
101 S PALMWAY APT 8, LAKE WORTH BEACH, FL 33460-4276
(407) 917-2205
Mailing address
30 S 15TH ST STE 1550, PHILADELPHIA, PA 19102-4806
(407) 917-2205

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
CW024284
PA
1041C0700X
Clinical Social Worker
Primary
SW24235
FL

Other

Enumeration date
02/03/2025
Last updated
08/27/2025
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