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1023847746
KELLIE RENE RIVERA
JAMAICA, NY
NPI
1023847746
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
(Licence: NY 103539)
Enumeration Date
2024-07-31
Last Update Date
2024-07-31
Business Address
KELLIE RENE RIVERA LMSW
11515 SUTPHIN BLVD
JAMAICA, NY 11434-1020
Phone number: 718-765-6009
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Mailing Address
KELLIE RENE RIVERA LMSW
4330 48TH ST APT F3
SUNNYSIDE, NY 11104-1630
Phone number: 917-570-8987
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