RAVEN EBONI JENERSON

ALPHARETTA, GA
NPI1972187573
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: DC  LC50082869)
Additional Taxonomies1041C0700X Social Worker, Clinical
(Licence: VA  0904015007)
Enumeration Date2021-05-10
Last Update Date2023-06-01
Business Address
RAVEN EBONI JENERSON LICSW
3480 PRESTON RIDGE RD STE 500
ALPHARETTA, GA 30005-5460
Phone number: 404-969-6116
Mailing Address
RAVEN EBONI JENERSON LICSW
3480 PRESTON RIDGE RD STE 500
ALPHARETTA, GA 30005-5460
Phone number: 404-969-6116