ANTONIO A RIVERA

PHOENIX, AZ
NPI1801360615
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy104100000X Social Worker
(Licence: AZ  LMSW-17551)
Enumeration Date2019-01-15
Last Update Date2019-01-15
Business Address
ANTONIO A RIVERA LMSW
650 E INDIAN SCHOOL RD
PHOENIX, AZ 85012-1839
Phone number: 602-277-5551
Mailing Address
ANTONIO A RIVERA LMSW
4624 N 103RD AVE
PHOENIX, AZ 85037-5109
Phone number: