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Individual

RAEANN RIVERA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
2109 ALHAMBRA AVE SW, ALBUQUERQUE, NM 87104-1601
(575) 208-4662
(505) 212-0976
Mailing address
2109 ALHAMBRA AVE SW, ALBUQUERQUE, NM 87104-1601
(575) 208-4662
(505) 212-0976

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C-09609
NM

Other

Enumeration date
08/02/2010
Last updated
04/22/2021
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