Raven Eboni Jenerson, LICSW

NPI #1972187573 in Alpharetta, Georgia

Provider Information

NPI Number: 1972187573
Entity Type: Individual
Name: Raven Eboni Jenerson, LICSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: LICSW
Enumeration Date: May 10, 2021
Last Updated: Jun 1, 2023

Practice Location

Address: 3480 PRESTON RIDGE RD STE 500
City: Alpharetta
State: Georgia
ZIP Code: 30005-5460
Phone: (404) 969-6116

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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