Individual
MR. ERNESTO RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
34 SHORE RD, WAYNE, NJ 07470-6321
(973) 234-3086
Mailing address
34 SHORE RD, WAYNE, NJ 07470-6321
(973) 234-3086
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC06251300
NJ
Other
Enumeration date
08/02/2023
Last updated
08/02/2023
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