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1053700211
RACHEL JIVIDEN
ELMIRA, NY
NPI
1053700211
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY 096645-1)
Additional Taxonomies
101Y00000X Counselor
Enumeration Date
2015-01-12
Last Update Date
2015-11-18
Business Address
-- RACHEL JIVIDEN LMSW
1019 E WATER ST
ELMIRA, NY 14901-3332
Phone number: 607-733-5696
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Mailing Address
-- RACHEL JIVIDEN LMSW
1019 E WATER ST
ELMIRA, NY 14901-3332
Phone number:
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