Individual
MS. GENIE BUD RAVITAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSS, LCSW
Contact information
Practice address
7127 GERMANTOWN AVE, STE 2, PHILADELPHIA, PA 19119-1855
(267) 977-3008
Mailing address
647 W ELLET ST, PHILADELPHIA, PA 19119-3428
(267) 977-3008
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW014915
PA
Other
Enumeration date
01/17/2007
Last updated
03/16/2015
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