KELLY RIVERA

SPRINGFIELD, IL
NPI1780011932
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: CA  75388)
Enumeration Date2013-10-02
Last Update Date2022-11-08
Business Address
KELLY RIVERA LCSW
2501 CHATHAM RD STE N
SPRINGFIELD, IL 62704-4188
Phone number: 872-810-2133
Mailing Address
KELLY RIVERA LCSW
6134 W ADDISON ST
CHICAGO, IL 60634-4115
Phone number: 415-546-6756
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