Angela Marie Rivera LCSW, CSAC, ICS

NPI 1760678031 - Counselor - 101YA0400X

NPI Details
NPI 1760678031
Gender Female
Enumeration Date 09/20/2007
Last Updated 03/12/2013
Entity Type Individual
Active Over 9 years ago
Practice Location
3500 S 92ND ST
SUITE 1A
MILWAUKEE WI, 53228-1500, US
Phone (414) 882-1167
Fax (414) 645-9345
Business Location
3500 S 92ND ST
SUITE 1A
MILWAUKEE WI, 53228-1500, US
Phone (414) 882-1167
Fax (414) 645-9345
Toxanomy
Taxonomy Code 101YA0400X
License State Wisconsin
License Number 7618-123
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According to our database, Ms. Angela Marie Rivera LCSW, CSAC, ICS NPI is 1760678031, taxonomy code is 101YA0400X and license number is 7618-123, license state is located at Wisconsin. Angela Marie Rivera LCSW, CSAC, ICS physically located at 3500 S 92nd St, Milwaukee WI, 53228-1500. NPI Number Angela Marie Rivera LCSW, CSAC, ICS has the Individual type.

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1760678031 NPI number is provided on an as is basis without warranty of any kind. 1760678031 is maintained by the National Plan & Provider Enumeration System. The contents of Angela Marie Rivera LCSW, CSAC, ICS are for informational purposes only.