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Individual

MS. JOANNE D REILLY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
500 N BRIDGE ST, BRIDGEWATER, NJ 08807-2135
(908) 725-2800
(908) 704-1790
Mailing address
500 N BRIDGE ST, BRIDGEWATER, NJ 08807-2135
(908) 725-2800
(908) 704-1790

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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