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Provider Information for 1821250606


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Ms. BEVERLY ANN RIVARD MSW


Sex: Female

NPI: 1821250606
Last Updated: 2008-07-02
Certification Date:

Details

NameValue
NPI1821250606
Enumeration Date2008-07-02
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
Mailing Address 333 CHURCH STREET
WRANGELL, AK 99929-1231
United States

Phone: 907-874-2373 | Fax:907-874-2576
 
Primary Practice Address 333 CHURCH, B 1231
WRANGELL, AK 99929-1231
United States

Phone: 907-874-2373 | Fax:907-874-2576
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 1041C0700X - Social Worker - Clinical