Individual
NATASCHA K RAKOVEC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
536 PEEPLES ST SW, ATLANTA, GA 30310-1824
(251) 463-5919
Mailing address
536 PEEPLES ST SW, ATLANTA, GA 30310-1824
(251) 463-5919
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
MSW006368
GA
1041C0700X
Clinical Social Worker
Primary
CSW006464
GA
Other
Enumeration date
07/31/2017
Last updated
10/23/2019
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