Individual
KASSANDRA YLISSA RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
2440 LOUISIANA BLVD NE STE 300, ALBUQUERQUE, NM 87110-4394
(505) 302-1660
Mailing address
10641 MICROLITH RD SW, ALBUQUERQUE, NM 87121-5479
(505) 280-8844
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
M-11277
NM
Other
Enumeration date
03/11/2021
Last updated
03/11/2021
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