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1841484375
LUIS G RIVAS
BARTOW, FL
NPI
1841484375
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: FL SW131146)
Enumeration Date
2007-08-28
Last Update Date
2017-04-20
Business Address
-- LUIS G RIVAS LCSW
1239 E MAIN ST
BARTOW, FL 33830-5058
Phone number: 863-519-0575
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Mailing Address
-- LUIS G RIVAS LCSW
PO BOX 1559
BARTOW, FL 33831-1559
Phone number: 863-519-0575
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