Individual
MRS. CARLY RUTH RILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
1501 S PINELLAS AVE STE C, TARPON SPRINGS, FL 34689-1950
(703) 638-0035
Mailing address
6217 PADDOCK GLEN DR UNIT 102, TAMPA, FL 33634-5349
(703) 638-0035
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
15177
FL
Other
Enumeration date
02/15/2021
Last updated
02/15/2021
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