Individual
SAMANTHA REILLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
376 LAFAYETTE RD, SUITE 200, SPARTA, NJ 07871-3560
(973) 940-0105
Mailing address
376 LAFAYETTE RD, SUITE 200, SPARTA, NJ 07871-3560
(973) 940-0105
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
04/05/2016
Last updated
04/05/2016
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