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1336321447
FERNANDO RIVAS
PHILADELPHIA, PA
NPI
1336321447
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2007-11-30
Last Update Date
2007-11-30
Business Address
-- FERNANDO RIVAS MA
2152 NORTH FRONT STREET
PHILADELPHIA, PA 19122-1705
Phone number: 484-221-9136
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Mailing Address
-- FERNANDO RIVAS MA
2030 W TILGHMAN ST SUITE 105B
ALLENTOWN, PA 18104-4354
Phone number: 484-221-9136
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