Individual
MS. SHELBY LAKE RILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., LMFT
Contact information
Practice address
20 MYSTIC LN STE A, MALVERN, PA 19355-1942
(610) 883-3333
Mailing address
20 MYSTIC LN STE A, MALVERN, PA 19355-1942
(610) 883-3333
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MF000477
PA
Other
Enumeration date
12/16/2008
Last updated
12/16/2008
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