Individual
MS. ANNA RILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
31 HEATH ST, JAMAICA PLAIN, MA 02130-1650
(617) 523-6400
(617) 523-3034
Mailing address
30 MEADOWBROOK ROAD, BROCKTON, MA 02301
(508) 408-6112
(508) 408-6191
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
112240
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1303414
—
MA
Enumeration date
04/18/2007
Last updated
03/27/2017
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