Organization
CARMEN M RIVERA, LCSW
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CARMEN MILAGROS RIVERA MSW, LCSW (PROPRIETOR)
(302) 981-0912
Entity
Organization
Contact information
Practice address
104 FULTON AVE, CHILD MED GRP, POUGHKEEPSIE, NY 12603-2808
(302) 981-0912
(845) 765-2489
Mailing address
104 FULTON AVE, CHILD MED GRP, POUGHKEEPSIE, NY 12603-2808
(302) 981-0912
(845) 765-2489
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
078405
NY
Other
Enumeration date
11/19/2010
Last updated
06/19/2013
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