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Individual

FEVEN BERHE SEYOUM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1800 PARKWAY PL SE, MARIETTA, GA 30067-8200
(770) 568-6252
Mailing address
PO BOX 25, LITHIA SPRINGS, GA 30122-0025
(770) 568-6252

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
CSW008693
GA
1041C0700X
Clinical Social Worker
Primary
CSW008693
GA
1041S0200X
School Social Worker
CSW008693
GA

Other

Enumeration date
08/16/2023
Last updated
08/16/2023
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