Individual
LILIA DE LA RIVA
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
SUPPORT COORDINATOR
Contact information
Practice address
2216 GRANGER AVE, KISSIMMEE, FL 34746-2204
(407) 301-0680
(407) 933-4225
Mailing address
2216 GRANGER AVE, KISSIMMEE, FL 34746-2204
(407) 301-0680
(407) 933-4225
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
FL
Other
Enumeration date
06/09/2006
Last updated
07/26/2007
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