KELLY RIVADENEYRA

NUTLEY, NJ
NPI1790242469
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: NJ  44SC05971300)
Enumeration Date2019-02-28
Last Update Date2021-10-13
Business Address
KELLY RIVADENEYRA MSW, LCSW
169 CHESTNUT ST
NUTLEY, NJ 07110-2311
Phone number: 973-667-1884
Mailing Address
KELLY RIVADENEYRA MSW, LCSW
77 BROOK AVE APT A13
PASSAIC, NJ 07055-5361
Phone number: 973-782-3400