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1154500601
EDGAR RIVERA
SANTA ANA, CA
NPI
1154500601
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA 71090)
Enumeration Date
2007-11-01
Last Update Date
2024-04-24
Business Address
EDGAR RIVERA LCSW
2220 E FRUIT ST STE 216
SANTA ANA, CA 92701-4459
Phone number: 949-424-3560
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Mailing Address
EDGAR RIVERA LCSW
1278 GLENNEYRE ST PMB 135
LAGUNA BEACH, CA 92651-3103
Phone number:
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