Individual
MR. EVAN JORDAN RIVECCIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SW CLINICAL
Contact information
Practice address
501 LOMBARD ST., NEW HAVEN, CT 06513
(203) 787-2207
Mailing address
48 WOODING RD, WALLINGFORD, CT 06492-2242
(203) 294-0431
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
10/31/2008
Last updated
10/31/2008
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