JACQUELYN LEE RIVERA

INGLEWOOD, CA
NPI1811028871
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: CA  LCS27113)
Additional Taxonomies374700000X Technician
Enumeration Date2007-03-08
Last Update Date2011-08-11
Business Address
Mrs. JACQUELYN LEE RIVERA LCSW, PPSC
111 N LA BREA AVE STE 700
INGLEWOOD, CA 90301-4651
Phone number: 310-677-7808
Mailing Address
Mrs. JACQUELYN LEE RIVERA LCSW, PPSC
2021 E. 4TH ST. #204
SANTA ANA, CA 92705
Phone number: 714-547-0885
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