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1104169465
JAQUELINE RIVAS
FORT WORTH, TX
NPI
1104169465
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: TX 107429)
Additional Taxonomies
101Y00000X Counselor
Enumeration Date
2013-04-04
Last Update Date
2024-01-25
Business Address
JAQUELINE RIVAS
4928 NAVAJO WAY
FORT WORTH, TX 76137-5151
Phone number: 949-929-4249
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Mailing Address
JAQUELINE RIVAS
4928 NAVAJO WAY
FORT WORTH, TX 76137-5151
Phone number: 949-929-4249
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