Individual
MR. EUGENE RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
20 LAUREL CREST RD, MADISON, CT 06443-3344
(203) 245-3467
Mailing address
20 LAUREL CREST RD, MADISON, CT 06443-3344
(203) 245-3467
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
003747
CT
Other
Enumeration date
10/26/2012
Last updated
10/26/2012
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