Organization
ANA RIVERA CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANA MARIELLA RIVERA LICSW (PSYCHOTHERAPIST)
(612) 396-3963
Entity
Organization
Contact information
Practice address
241 CLEVELAND AVE S, SAINT PAUL, MN 55105-1208
(612) 396-3963
Mailing address
3533 16TH AVE S, MINNEAPOLIS, MN 55407-2305
(612) 396-3963
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
17718
MN
Other
Enumeration date
10/30/2012
Last updated
10/30/2012
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