Individual
MS. KENDRA RILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Contact information
Practice address
5950 US HIGHWAY 6, PORTAGE, IN 46368-4946
(219) 762-5731
(219) 762-0977
Mailing address
5950 US HIGHWAY 6, PORTAGE, IN 46368-4946
(219) 762-5731
(219) 762-0977
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
149.014428
IL
1041C0700X
Clinical Social Worker
Primary
34005784A
IN
Other
Enumeration date
08/01/2009
Last updated
04/16/2026
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