Individual
RATKANHNHA SIV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
FHR012312
—
RI
05
—
GH56945
—
RI
Enumeration date
08/06/2008
Last updated
05/16/2012
Update your record
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