Individual
ALEXANDRA K RIVAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
10 BANTA PL, HACKENSACK, NJ 07601-5612
(862) 290-7449
Mailing address
4300 VERMELLA WAY, LYNDHURST, NJ 07071-1338
(862) 290-7449
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL06192700
NJ
Other
Enumeration date
02/10/2021
Last updated
02/10/2021
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