Individual
DANETTE RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3025 E SPANGLE WAVERLY RD, SPANGLE, WA 99031-9703
(423) 596-2917
Mailing address
3025 E SPANGLE WAVERLY RD, SPANGLE, WA 99031-9703
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
SCS61001445
WA
Other
Enumeration date
08/19/2014
Last updated
08/23/2023
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