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Individual

CARMEN MILAGROS RIVERA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSW LCSW

Contact information

Practice address
34 LIVINGSTON ST, POUGHKEEPSIE, NY 12601-4713
(845) 240-7860
Mailing address
1200 BROWN ST, PEEKSKILL, NY 10566-3617
(844) 474-2273

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
078405
NY
1041C0700X
Clinical Social Worker
Q1-0001007
DE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
078405
LICENSE
NY
01
Q1-0001007
LICENSE
DE
Enumeration date
01/25/2010
Last updated
02/02/2015
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