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Organization
MRIVERSAWAKENINGS HEALING COLLECTIVE PLLC
Active
Organization
MRIVERSAWAKENINGS HEALING COLLECTIVE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARUKA J RIVERS LCSW (OWNER/SENIOR CLINICAL DIRECTOR)
(336) 456-3576
Entity
Organization
Contact information
Practice address
1825 BANKING ST # 29525, GREENSBORO, NC 27408-7221
(336) 456-3576
Mailing address
5708 WILDBERRY DR, GREENSBORO, NC 27409-2716
(336) 456-3576
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
05/19/2022
Last updated
05/19/2022
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