Individual
ANGELICA D RIVAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8321 OFFICE PARK DR, DOUGLASVILLE, GA 30134-6936
(770) 884-1558
Mailing address
4132 HIGH COUNTRY DR, DOUGLASVILLE, GA 30135-4269
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
MSW005926
GA
1041C0700X
Clinical Social Worker
Primary
CSW005565
GA
Other
Enumeration date
12/06/2012
Last updated
04/25/2019
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