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1902292428
JEAN L RIVERA
TACOMA, WA
NPI
1902292428
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: WA LW60592040)
Enumeration Date
2015-04-10
Last Update Date
2019-03-11
Business Address
Mrs. JEAN L RIVERA LICSW, CADCI
9040 JACKSON AVE
TACOMA, WA 98431-1100
Phone number: 253-968-4836
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Mailing Address
Mrs. JEAN L RIVERA LICSW, CADCI
BLDG 9920A EAST JOHNSON ST DENALI EMBEDDED BEHAVIORAL HEALTH CLINIC
JOINT BASE LEWIS-MCCHORD, WA 98431-1100
Phone number: 253-968-4836
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