Individual
REVA RUTH FELDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1272 HOLLY LN NE, ATLANTA, GA 30329-3512
(404) 291-1930
Mailing address
1272 HOLLY LN NE, ATLANTA, GA 30329-3512
(404) 291-1930
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
113545
NY
Other
Enumeration date
10/12/2021
Last updated
10/12/2021
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