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Individual
MS. MAYRA RIVERA
Active
Individual
MS. MAYRA RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, ACSW
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
ASW90471
CA
104100000X
Social Worker
Primary
ASW90471
CA
1041C0700X
Clinical Social Worker
ASW90471
CA
Other
Enumeration date
01/12/2022
Last updated
10/09/2024
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