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Individual

LAURA RILEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCADC

Contact information

Practice address
22-08 ROUTE 208 STE 2, FAIR LAWN, NJ 07410-2609
(844) 978-0008
Mailing address
22-08 ROUTE 208 STE 2, FAIR LAWN, NJ 07410-2609
(844) 978-0008

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
37LC00266900
NJ

Other

Enumeration date
06/17/2019
Last updated
10/05/2022
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