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Individual

MS. KATHLEEN JEAN REILLY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
5112 SCHUBERT RD, KNOXVILLE, TN 37912-3832
(865) 688-1220
(865) 577-0688
Mailing address
PO BOX 9547, KNOXVILLE, TN 37940-0547
(865) 688-1220
(865) 577-0688

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
000389
TN

Other

Enumeration date
11/08/2006
Last updated
07/08/2007
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