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Individual

MR. ROBERT DAVID RILEY II

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RASAC II

Contact information

Practice address
9890 CLAYTON RD, SUITE 115, SAINT LOUIS, MO 63124-1685
(314) 222-5858
Mailing address
9890 CLAYTON RD, SUITE 115, SAINT LOUIS, MO 63124-1685
(314) 222-5858

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
8712
MO

Other

Enumeration date
09/24/2015
Last updated
09/24/2015
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