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1114003225
CARMEN IVETTE RIVERA
WANTAGH, NY
NPI
1114003225
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY 071195)
Enumeration Date
2006-10-31
Last Update Date
2007-07-08
Business Address
-- CARMEN IVETTE RIVERA LCSW
3375 PARK AVE STE 4000
WANTAGH, NY 11793-3799
Phone number: 516-754-3332
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Mailing Address
-- CARMEN IVETTE RIVERA LCSW
605 HUGHES ST
BELLMORE, NY 11710-4004
Phone number: 516-754-3332
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