Beronica Rivera LGSW

NPI 1255695110 - Social Worker - 104100000X

NPI Details
NPI 1255695110
Gender Female
Enumeration Date 06/26/2012
Last Updated 06/26/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
610 E DIAMOND AVE
SUITE 100A
GAITHERSBURG MD, 20877-5321, US
Phone (301) 840-3200
Fax (301) 840-1348
Business Location
610 E DIAMOND AVE
SUITE 100A
GAITHERSBURG MD, 20877-5321, US
Phone (301) 840-3200
Fax (301) 840-1348
Toxanomy
Taxonomy Code 104100000X
License State Maryland
License Number 18092
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According to our database, Beronica Rivera LGSW NPI is 1255695110, taxonomy code is 104100000X and license number is 18092, license state is located at Maryland. Beronica Rivera LGSW physically located at 610 E Diamond Ave, Gaithersburg MD, 20877-5321. NPI Number Beronica Rivera LGSW has the Individual type.

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1255695110 NPI number is provided on an as is basis without warranty of any kind. 1255695110 is maintained by the National Plan & Provider Enumeration System. The contents of Beronica Rivera LGSW are for informational purposes only.