Individual
LINDA MICHELLE RIVAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16425 NW 25TH AVE, MIAMI GARDENS, FL 33054-6581
(305) 623-3309
Mailing address
8752 NW 106TH TER, HIALEAH GARDENS, FL 33018-4603
(786) 853-6419
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041S0200X
School Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1041S0200X
—
FL
Enumeration date
05/14/2019
Last updated
07/02/2021
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