Individual
TONJA M RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LBSW
Contact information
Practice address
310 S 2ND ST, TUCUMCARI, NM 88401-2858
(575) 461-2656
Mailing address
310 S 2ND ST, TUCUMCARI, NM 88401-2858
(575) 461-2656
(575) 461-4862
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
B-07291
NM
Other
Enumeration date
09/09/2009
Last updated
07/10/2015
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