Individual
SHANNON MARIE REILLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW-C
Contact information
Practice address
604 SOLAREX CT UNIT 201, FREDERICK, MD 21703-8655
(301) 663-8263
Mailing address
35 E CHURCH ST UNIT A, MOUNT AIRY, MD 21771-5463
(240) 527-9395
(410) 334-6362
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
22951
MD
104100000X
Social Worker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
609550001
—
MD
Enumeration date
09/06/2016
Last updated
12/02/2022
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