Individual
KELLY RUTH RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
600 LAKEWAY DR, BELLINGHAM, WA 98225-5236
(360) 676-6749
Mailing address
PO BOX 2569, EVERETT, WA 98213-0569
(425) 212-4200
(425) 212-4220
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SC61319040
WA
Other
Enumeration date
06/01/2022
Last updated
03/03/2026
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