Individual
MRS. JEAN L RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW, CADCI
Contact information
Practice address
9040 JACKSON AVE, TACOMA, WA 98431-1100
(253) 968-4836
(253) 968-3731
Mailing address
BLDG 9920A EAST JOHNSON ST, DENALI EMBEDDED BEHAVIORAL HEALTH CLINIC, JOINT BASE LEWIS-MCCHORD, WA 98431-1100
(253) 968-4836
(253) 968-3731
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW60592040
WA
Other
Enumeration date
04/10/2015
Last updated
03/11/2019
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