Individual
DEBORAH MARIE REILLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1176 PELICAN BAY DR, DAYTONA BEACH, FL 32119-1381
(386) 503-0522
Mailing address
41 LAKE FOREST PL, PALM COAST, FL 32137-8044
(386) 503-0522
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW19885
FL
Other
Enumeration date
12/16/2012
Last updated
06/27/2022
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