Individual
MS. JAMY GIZEL RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
084717
NY
1041C0700X
Clinical Social Worker
Q1-0001496
DE
Other
Enumeration date
11/09/2011
Last updated
04/20/2017
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