Individual
ILYSSA M RILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
765 E ROUTE 70, BUILDING A, MARLTON, NJ 08053
(856) 983-3900
Mailing address
765 E ROUTE 70, BUILDING A, MARLTON, NJ 08053
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC04528900
NJ
Other
Enumeration date
11/21/2006
Last updated
07/08/2007
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