Individual
JAYME LEE RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
591 LAKEHURST RD, TOMS RIVER, NJ 08755-8045
(732) 244-3002
Mailing address
PO BOX 2036, LAKEWOOD, NJ 08701-8036
(732) 367-1710
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SL06288500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0029807
—
NJ
Enumeration date
10/17/2017
Last updated
10/17/2017
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