Individual
MS. IRENE RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5 PINEPOINT DRIVE, BRIDGE PORT, CT 06606
(917) 371-6649
Mailing address
5 PINEPOINT DRIVE, BRIDGE PORT, CT 06606
(917) 371-6649
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
PR017944
NY
Other
Enumeration date
02/07/2011
Last updated
02/07/2011
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