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Individual

MICHELLE RIVERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1519 NYE RD, LYONS, NY 14489-9133
(315) 946-5722
(315) 946-7079
Mailing address
1519 NYE RD, LYONS, NY 14489-9133
(315) 946-5722
(315) 946-7079

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
03/31/2014
Last updated
03/31/2014
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