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1245761709
STACY RIVERS
SAINT CLOUD, MN
NPI
1245761709
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MN 21751)
Enumeration Date
2017-03-25
Last Update Date
2017-03-27
Business Address
-- STACY RIVERS LICSW
1406 6TH AVE N
SAINT CLOUD, MN 56303-1900
Phone number: 320-251-2700
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Mailing Address
-- STACY RIVERS LICSW
1406 6TH AVE N
SAINT CLOUD, MN 56303-1901
Phone number: 320-251-2700
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