Individual
ERIN WALLEY RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5245 N SOCRUM LOOP RD, LAKELAND, FL 33809-4253
(863) 859-1446
Mailing address
1117 LADY ELAINE DR, VALRICO, FL 33594-5821
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
14460
FL
Other
Enumeration date
01/03/2018
Last updated
01/03/2018
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