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1770612749
SANDRA THERESA RIVERA
PICO RIVERA, CA
NPI
1770612749
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-03-05
Last Update Date
2007-07-08
Business Address
-- SANDRA THERESA RIVERA
8207 WHITTIER BLVD
PICO RIVERA, CA 90660-2521
Phone number: 562-695-0737
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Mailing Address
-- SANDRA THERESA RIVERA
8527 SHADYSIDE AVE
WHITTIER, CA 90606-2958
Phone number: 562-908-0426
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