Individual
CANDICE C RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
223 N JACKSON ST, GLENDALE, CA 91206-4334
(818) 241-3111
Mailing address
PO BOX 3592, GLENDALE, CA 91221-0592
(818) 441-4026
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
83407
CA
Other
Enumeration date
07/15/2020
Last updated
07/15/2020
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