Individual
ALICIA M RIVERA JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1412 FAIRMOUNT AVE, PHILADELPHIA, PA 19130-2908
(215) 599-4851
Mailing address
1412 FAIRMOUNT AVE, PHILADELPHIA, PA 19130-2908
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW020906
—
Other
Enumeration date
08/07/2020
Last updated
08/07/2020
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