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1750773214
JACQUELINE RIVAS
KISSIMMEE, FL
NPI
1750773214
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2015-02-20
Last Update Date
2015-02-20
Business Address
-- JACQUELINE RIVAS
2113 CASSIA CIR APT C
KISSIMMEE, FL 34741-2876
Phone number: 407-361-1539
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Mailing Address
-- JACQUELINE RIVAS
2113 CASSIA CIR APT C
KISSIMMEE, FL 34741-2876
Phone number:
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