Individual
RILEY MCCONNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6907 LAWNTON ST, PHILA, PA 19128-3211
(570) 903-4966
Mailing address
6907 LAWNTON ST, PHILA, PA 19128-3211
(570) 903-4966
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
PC018316
PA
Other
Enumeration date
05/16/2025
Last updated
05/16/2025
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