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Individual
MR. MICHAEL A. RIVERA
Active
Individual
MR. MICHAEL A. RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.C.S.W.
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
005297
CT
1041C0700X
Clinical Social Worker
Primary
008809
CT
363L00000X
Nurse Practitioner
7912
CT
Other
Enumeration date
03/12/2015
Last updated
06/14/2022
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