Individual
JOHANCY RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2925 RUSSELL ST, DETROIT, MI 48207-4825
(313) 396-5300
Mailing address
4108 LAWNDALE ST, DETROIT, MI 48210-2082
(313) 346-6340
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
MI
Other
Enumeration date
10/26/2018
Last updated
10/26/2018
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