Individual
JACKELINE RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
CARR 830 KM 4.2 SECTOR LOS CRUZ, BO CERRO GORDO, BAYAMON, PR 00956
(787) 590-3985
Mailing address
RR 4 BOX 702, BAYAMON, PR 00956-9949
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
13175
PR
Other
Enumeration date
12/27/2022
Last updated
12/27/2022
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