Individual
MRS. BETSY RIVERA RUIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
180 FAIRFIELD AVE, BRIDGEPORT, CT 06604-4252
(203) 213-7399
Mailing address
180 FAIRFIELD AVE, BRIDGEPORT, CT 06604-4252
(203) 213-7399
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
10645
CT
Other
Enumeration date
09/06/2019
Last updated
09/06/2019
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