Individual
DIANA RIVERA-BURGOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW-A
Contact information
Practice address
224 S 10TH AVE, SILER CITY, NC 27344-2779
(919) 663-1744
Mailing address
129 MICRO CT, BROADWAY, NC 27505-8168
(919) 721-8588
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
P018958
NC
Other
Enumeration date
11/26/2024
Last updated
12/04/2024
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