Individual
AMARYLLIS RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
428 ALLEN CT # B, WHEELING, IL 60090-6102
(630) 449-2648
Mailing address
428 ALLEN CT # B, WHEELING, IL 60090-6102
(630) 449-2648
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.025253
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
149.025253
LICENSE NUMBER
IL
Enumeration date
02/23/2023
Last updated
03/06/2023
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