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1124436373
ERICK FREDERICK RIVERA
SALEM, OR
NPI
1124436373
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: OR L6459)
Enumeration Date
2014-07-31
Last Update Date
2021-12-20
Business Address
ERICK FREDERICK RIVERA LCSW
5125 SKYLINE RD S
SALEM, OR 97306-9427
Phone number: 503-588-5963
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Mailing Address
ERICK FREDERICK RIVERA LCSW
5125 SKYLINE RD S
SALEM, OR 97306-9427
Phone number: 503-588-5963
Copy
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