Provider Information for 1821458720
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NATALIA R. RIVERA LCSW
Sex: Female
NPI: 1821458720
Last Updated: 2016-10-11
Certification Date:
Certification Date:
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NPI | 1821458720 | ||||||||
Enumeration Date | 2016-03-04 | ||||||||
NPI Type | NPI-1 Individual | ||||||||
Sole Proprietor | NO | ||||||||
Status | Active | ||||||||
Mailing Address | 219 STEPHENS RD MARTINEZ, GA 30907-2941 United States Phone: 910-988-2316 | Fax: | ||||||||
Primary Practice Address | 300 W HOSPITAL RD FORT GORDON, GA 30905-5741 United States Phone: 706-787-8066 | Fax: | ||||||||
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