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1457600991
MANUEL RIVERA
MODESTO, CA
NPI
1457600991
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA 100542)
Enumeration Date
2012-08-30
Last Update Date
2023-08-30
Business Address
Mr. MANUEL RIVERA
4640 SPYRES WAY STE 7
MODESTO, CA 95356-9800
Phone number: 209-324-5208
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Mailing Address
Mr. MANUEL RIVERA
1625 GOMES LN
TURLOCK, CA 95382-0754
Phone number: 209-324-5208
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