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NPI Code Detail

MEDICARE: MRS. REVA MANON KRAUS LCSW

MEDICARE:  MRS. REVA MANON KRAUS  LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker

General Provider Information

NPI Number : 1730393059
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. REVA MANON KRAUS LCSW
Provider Business Mailing Address
First Line : 135 E PIKE ST STE 105
Second Line :
City : LAWRENCEVILLE
State : GA
Zip : 30046-5019
Country : US
Telephone Number : 678-727-8126
Fax Number :
Provider Business Practice Location Address
First Line : 135 E. PIKE STREET
Second Line :
City : ATLANTA
State : GA
Zip : 30338-7407
Country : US
Telephone Number : 404-781-9577
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/09/2007
Last Update Date : 02/06/2026

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Directions to “ MRS. REVA MANON KRAUS LCSW” Practice Location

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