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Individual
MRS. NELLIE ESTHER RIVERA
Active
Individual
MRS. NELLIE ESTHER RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
006631
CT
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
006631
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1020986
—
AK
Enumeration date
02/27/2008
Last updated
09/18/2019
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