Individual
DONOVAN RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW, MPH
Contact information
Practice address
520 2ND AVE W APT 102, SEATTLE, WA 98119-3977
(206) 360-8400
Mailing address
11355 3RD AVE NE APT B101, SEATTLE, WA 98125-6005
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW61397559
WA
1041C0700X
Clinical Social Worker
SC60882386
WA
Other
Enumeration date
05/24/2022
Last updated
04/12/2023
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