Rachel Jividen, LMSW

NPI #1053700211 in Elmira, New York

Provider Information

NPI Number: 1053700211
Entity Type: Individual
Name: Rachel Jividen, LMSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: LMSW
Enumeration Date: Jan 12, 2015
Last Updated: Nov 18, 2015

Practice Location

Address: 1019 E WATER ST
City: Elmira
State: New York
ZIP Code: 14901-3332
Phone: (607) 733-5696

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary
Counselor	101Y00000X

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