Individual
SHANA E RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
2501 N 3RD ST, HARRISBURG, PA 17110-1904
(717) 782-4734
(717) 782-4727
Mailing address
PO BOX 858, MC A410, HERSHEY, PA 17033-0858
(800) 243-1455
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW133151
PA
Other
Enumeration date
04/16/2018
Last updated
04/16/2018
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