Individual
DARLENE SHERICE RILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11141 ZEALAND AVE N, CHAMPLIN, MN 55316-3595
(763) 951-3091
(763) 951-3097
Mailing address
8040 PERRY AVE N, BROOKLYN PARK, MN 55443-2421
(763) 442-7353
(763) 951-3097
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
28499
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28499
MINNESOTA BOARD OF SOCIAL WORK
MN
Enumeration date
06/09/2021
Last updated
06/09/2021
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