Individual
AMANDA RIVAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1700 WATERMAN ST, DETROIT, MI 48209-2022
(313) 841-8900
Mailing address
1700 WATERMAN ST, DETROIT, MI 48209-2022
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801094972
MI
Other
Enumeration date
12/20/2013
Last updated
12/20/2013
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