Individual
PATRICIA RIVAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11617 EMERALD GREEN DR, CLARKSBURG, MD 20871-5337
(240) 635-9429
Mailing address
11617 EMERALD GREEN DR, CLARKSBURG, MD 20871-5337
(240) 635-9429
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
19228
MD
Other
Enumeration date
02/01/2022
Last updated
02/01/2022
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