Individual
RAVEN RAMIRE RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
111 DOCTOR CIR, COLUMBIA, SC 29203-6502
(800) 491-0909
Mailing address
111 DOCTOR CIR, COLUMBIA, SC 29203-6502
(800) 491-0909
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
S.1500784
OH
1041C0700X
Clinical Social Worker
Primary
CSW006685
GA
Other
Enumeration date
06/19/2015
Last updated
10/21/2024
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