Individual
SIDNEY MISCHEL RILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LLPC
Contact information
Practice address
215 N WATER ST STE 138, OWOSSO, MI 48867-2807
(810) 230-4224
Mailing address
760 RIVERWALK CIR APT 6B, CORUNNA, MI 48817-1290
(360) 843-6253
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6451022206
MI
Other
Enumeration date
09/06/2024
Last updated
09/06/2024
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