Individual
BRENDAN J REILLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.I.C.S.W
Contact information
Practice address
1191 NW TAHOE LANE, SILVERDALE, WA 98383
(360) 698-4860
(360) 698-3849
Mailing address
1191 NW TAHOE LANE, SILVERDALE, WA 98383
(360) 698-4860
(360) 698-3849
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LW00007201
WA
Other
Enumeration date
04/27/2006
Last updated
09/26/2012
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