Individual
MRS. MARILYN ELIZABETH RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LMSW
Contact information
Practice address
114 E CRANDALL AVE, HARRISON, AR 72601-3628
(870) 741-8484
Mailing address
1219 MAPLEWOOD RD, HARRISON, AR 72601-3008
(501) 766-3280
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
M2576
AR
1041C0700X
Clinical Social Worker
Primary
2576-M
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
239447795
—
AR
Enumeration date
09/23/2019
Last updated
07/01/2020
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