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Individual

ROXANA RIVAS HERNANDEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
3205 S CHEROKEE LN STE 130, WOODSTOCK, GA 30188-5402
(770) 300-7850
Mailing address
361 HERITAGE PARK TRCE NW, KENNESAW, GA 30144-4832
(404) 429-2811

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
MSW011545
GA
104100000X
Social Worker
Primary
MSW011545
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1962937391
NPI
NY
Enumeration date
05/28/2024
Last updated
07/29/2026
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