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1336507029
GENIE RAVITAL, LLC
PHILADELPHIA, PA
NPI
1336507029
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Entity Type
Organization
Authorized Contact
GENIE RAVITAL
Owner
267-977-3008
Organization Subpart ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: PA CW014915)
Enumeration Date
2016-02-09
Last Update Date
2016-02-09
Business Address
GENIE RAVITAL, LLC
7127 GERMANTOWN AVE SUITE 2
PHILADELPHIA, PA 19119-1855
Phone number: 267-977-3008
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Mailing Address
GENIE RAVITAL, LLC
647 W ELLET ST
PHILADELPHIA, PA 19119-3428
Phone number: 267-977-3008
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