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Individual

JESSICA MARIA RIVERA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSW, PC

Contact information

Practice address
520 HOPE ST, PROVIDENCE, RI 02906-2532
(401) 276-4155
Mailing address
9 ARK CT, PROVIDENCE, RI 02908-3207
(401) 919-4356

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
09/29/2016
Last updated
03/29/2017
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