Individual
VIRGINIA RIVAS REYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6723 N 61ST AVE, GLENDALE, AZ 85301-3108
(623) 206-4841
(602) 279-1431
Mailing address
PO BOX 16906, PHOENIX, AZ 85011-6906
(602) 279-1427
(602) 279-1431
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
9262536
AZ
Other
Enumeration date
02/28/2019
Last updated
02/28/2019
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