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Individual

DIANA RILEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
IECE

Contact information

Practice address
75 THOMPSON RD, MOUTHCARD, KY 41548-8477
(606) 835-4110
(606) 835-4110
Mailing address
75 THOMPSON RD, MOUTHCARD, KY 41548-8477
(606) 835-4110
(606) 835-4110

Taxonomy

Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary

Other

Enumeration date
12/18/2006
Last updated
10/13/2014
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