Individual
MARCELINO RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
5936 S KOLMAR AVE, CHICAGO, IL 60629-5428
(773) 443-2740
Mailing address
5936 S KOLMAR AVE, CHICAGO, IL 60629-5428
(773) 443-2740
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
IL
Other
Enumeration date
09/28/2014
Last updated
09/28/2014
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