Individual
MISS DIANA RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
8904 OGDEN AVE, BROOKFIELD, IL 60513-2006
(708) 990-3813
Mailing address
6739 W 59TH ST, CHICAGO, IL 60638-3242
(708) 990-3813
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149018818
IL
1041C0700X
Clinical Social Worker
150014976
IL
Other
Enumeration date
10/30/2015
Last updated
09/28/2022
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