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Individual
MS. JOANNE D REILLY
Active
Individual
MS. JOANNE D REILLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
37PC00151700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0023701
AGENCY MEDICAID PROVIDER #
NJ
01
—
527486
MEDICARE AGENCY PROVIDER #
NJ
Enumeration date
05/22/2013
Last updated
05/22/2013
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