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Individual
SANDRA LEIGH RIVERA
Active
Individual
SANDRA LEIGH RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
0155551
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39882055
—
NM
Enumeration date
01/16/2009
Last updated
06/29/2017
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