Individual
AMANDA JUNE RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
332 BIRNIE AVE, SPRINGFIELD, MA 01107-1104
(413) 733-6624
Mailing address
332 BIRNIE AVE, SPRINGFIELD, MA 01107-1104
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
06/05/2023
Last updated
06/05/2023
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