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1508417619
LUIS T RIVERA
MILFORD, CT
NPI
1508417619
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CT 11911)
Enumeration Date
2019-09-20
Last Update Date
2022-09-03
Business Address
LUIS T RIVERA LMSW
949 BRIDGEPORT AVE
MILFORD, CT 06460-3142
Phone number: 203-878-6365
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Mailing Address
LUIS T RIVERA LMSW
99 OLD BLUE HILLS RD
DURHAM, CT 06422-3005
Phone number: 203-231-2551
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