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1902449184
STEPHEN ANTHONY RIVERA
SAN BERNARDINO, CA
NPI
1902449184
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA 123362)
Additional Taxonomies
101Y00000X Counselor
Enumeration Date
2019-10-21
Last Update Date
2024-10-25
Business Address
STEPHEN ANTHONY RIVERA LCSW
325 W HOSPITALITY LN STE 312
SAN BERNARDINO, CA 92408-3212
Phone number: 866-205-3595
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Mailing Address
STEPHEN ANTHONY RIVERA LCSW
6628 CANARY PINE AVE
RANCHO CUCAMONGA, CA 91737-4250
Phone number: 909-908-6070
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