Individual
EMILY REILLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1500 LAFAYETTE ST, GRETNA, LA 70053-5732
(318) 717-8979
Mailing address
1500 LAFAYETTE ST, GRETNA, LA 70053-5732
(318) 717-8979
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
PLC8831
LA
Other
Enumeration date
10/27/2021
Last updated
10/27/2021
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