Individual
MRS. RAYLENE KELLY RILEY
Active
Individual
MRS. RAYLENE KELLY RILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SWB2023-0323
NM
171M00000X
Case Manager/Care Coordinator
—
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1073816799
—
NM
Enumeration date
12/20/2010
Last updated
07/01/2025
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