Individual
CARLOS RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LSCSW
Contact information
Practice address
1025 RANDALL RD, LAWRENCE, KS 66049-3343
(620) 253-4960
Mailing address
1025 RANDALL RD, LAWRENCE, KS 66049-3343
(620) 253-4960
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
05855
KS
Other
Enumeration date
03/29/2017
Last updated
12/05/2024
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