Individual
ELYSE F REILLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1060 WALDORF TER, LAKEWOOD, NJ 08701-5546
(973) 470-9600
Mailing address
10 UNDERWOOD PL, CLIFTON, NJ 07013-2218
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC05405800
NJ
Other
Enumeration date
05/15/2012
Last updated
05/15/2012
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