Ana Mariella Rivera LICSW

NPI 1164649463 - Social Worker - 104100000X

NPI Details
NPI 1164649463
Gender Female
Enumeration Date 04/19/2007
Last Updated 02/17/2012
Entity Type Individual
Active Over 9 years ago
Practice Location
SAINT PAUL MN, 55105-1208, US
Phone (612) 396-3963
Fax (612) 871-1058
Business Location
3533 16TH AVE S
MINNEAPOLIS MN, 55407-2305, US
Phone (312) 396-3963
Taxonomy Code 104100000X
License State
License Number 17718
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According to our database, Ana Mariella Rivera LICSW NPI is 1164649463, taxonomy code is 104100000X and license number is 17718, license state is located at . Ana Mariella Rivera LICSW physically located at 241 Cleveland Ave S, Saint Paul MN, 55105-1208. NPI Number Ana Mariella Rivera LICSW has the Individual type.

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1164649463 NPI number is provided on an as is basis without warranty of any kind. 1164649463 is maintained by the National Plan & Provider Enumeration System. The contents of Ana Mariella Rivera LICSW are for informational purposes only.