Individual
TAREVA RUFFIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MACCC-SLP
Contact information
Practice address
6035 PEACHTREE RD STE C120, DORAVILLE, GA 30360-3234
(678) 514-3270
Mailing address
2373 DUNWOODY XING APT F, DUNWOODY, GA 30338-8213
(252) 315-2603
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
10055
NC
235Z00000X
Speech-Language Pathologist
Primary
SLP009503
GA
Other
Enumeration date
08/25/2014
Last updated
10/08/2019
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