Organization
RIVER RISE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RHONDA ELAINE STURDIVANT LCSW (SOLE MEMBER)
(678) 687-9350
Entity
Organization
Contact information
Practice address
5701 MABLETON PKWY SW, SUITE 411, MABLETON, GA 30126-3395
(678) 687-9350
Mailing address
PO BOX 781, MABLETON, GA 30126-0781
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW004852
GA
Other
Enumeration date
03/04/2015
Last updated
03/04/2015
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