Individual
BIANCA RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9916 CENTRAL AVE, MONTCLAIR, CA 91763-3201
(909) 450-2502
Mailing address
9916 CENTRAL AVE, MONTCLAIR, CA 91763-3201
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
111059
CA
Other
Enumeration date
08/11/2019
Last updated
09/13/2023
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