Individual
ANDREA DE LA RIVA MORENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1501 HUGHES WAY, SUITE 150, LONG BEACH, CA 90810-1876
(310) 221-1636
Mailing address
1501 HUGHES WAY, SUITE 150, LONG BEACH, CA 90810-1876
(310) 221-1636
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
LCS74794
CA
Other
Enumeration date
12/11/2012
Last updated
09/12/2018
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