Individual
RAVEN ROLLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
8550 ULMERTON RD STE 145, LARGO, FL 33771-5357
(561) 480-3436
Mailing address
2943 LAKESIDE COMMONS DR APT 103, TAMPA, FL 33613-5812
(561) 480-3436
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
01/06/2022
Last updated
01/06/2022
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