Individual
BRIDGET REILLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
187 WAYNE ST APT 412C, JERSEY CITY, NJ 07302-6306
(732) 492-5833
Mailing address
187 WAYNE ST APT 412C, JERSEY CITY, NJ 07302-6306
(732) 492-5833
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
088354-1
NY
1041C0700X
Clinical Social Worker
44SC0319-605
NJ
1041C0700X
Clinical Social Worker
Primary
44SC05850800
NJ
Other
Enumeration date
09/10/2015
Last updated
11/03/2020
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