Individual
MR. JONATHAN MARK RILEY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
3900 WOODLAND AVE, PHILADELPHIA, PA 19104-4551
(215) 823-5800
Mailing address
1400 BLACKHORSE HILL RD, COATESVILLE, PA 19320-2040
(106) 384-7711
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
Q1-0012392
DE
Other
Enumeration date
10/09/2020
Last updated
01/17/2024
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