Individual
MR. ELVIS I RIVERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
4400 BAYOU BLVD STE 38, PENSACOLA, FL 32503-1911
(850) 471-0017
Mailing address
7144 FITZPATRICK RD, PENSACOLA, FL 32526-7534
(850) 207-5315
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW - 0003201
FL
Other
Enumeration date
12/01/2011
Last updated
12/01/2011
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