Individual
ANNE RIVERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
12 ROOSEVELT AVE, SUITE 203, MYSTIC, CT 06355-2809
(860) 536-4383
(860) 536-2873
Mailing address
12 ROOSEVELT AVE, MYSTIC, CT 06355-2809
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
00664
CT
1041C0700X
Clinical Social Worker
RO39293-1
NY
Other
Enumeration date
01/06/2010
Last updated
01/06/2010
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