Individual
EMILY RENEE REARDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
136 US 70 HWY E STE 201, GARNER, NC 27529-3982
(919) 791-5611
(919) 800-3050
Mailing address
2808 BARWELL RD, RALEIGH, NC 27610-5427
(608) 417-8144
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
18013-130
WI
1041C0700X
Clinical Social Worker
C013842
NC
Other
Enumeration date
06/28/2018
Last updated
07/26/2021
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