Individual
ANA MARIELLA RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
241 CLEVELAND AVE S, SUITE A7, SAINT PAUL, MN 55105-1208
(612) 396-3963
(612) 871-1058
Mailing address
3533 16TH AVE S, MINNEAPOLIS, MN 55407-2305
(312) 396-3963
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
17718
—
Other
Enumeration date
04/19/2007
Last updated
02/17/2012
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