Individual
NATALIA R. RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
300 W HOSPITAL RD, FORT GORDON, GA 30905-5741
(706) 787-8066
Mailing address
219 STEPHENS RD, MARTINEZ, GA 30907-2941
(910) 988-2316
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C009986
NC
Other
Enumeration date
03/04/2016
Last updated
10/11/2016
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