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Individual

MONA LISA RIVERA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA

Contact information

Practice address
805 WESTMONT DR, FAYETTEVILLE, NC 28305-4555
(910) 484-4061
(910) 485-4069
Mailing address
805 WESTMONT DR, FAYETTEVILLE, NC 28305-4555
(910) 484-4061
(910) 485-4069

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
7480
NC

Other

Enumeration date
09/16/2009
Last updated
11/23/2009
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