Individual
DORA MAE RILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MHP
Contact information
Practice address
218 E MAIN ST, OLNEY, IL 62450-2114
(618) 837-8025
Mailing address
636 W 7TH ST, FLORA, IL 62839-1116
(618) 508-3970
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/10/2020
Last updated
06/10/2020
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