Individual
CAITLIN GRACE RIVENBARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
19 RIVERSIDE AVE, BROCKTON, MA 02301-6898
(508) 690-6069
Mailing address
19 RIVERSIDE AVE, BROCKTON, MA 02301-6898
(508) 690-6069
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/12/2021
Last updated
11/18/2024
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