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Individual

ANDREA RILEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA CCC-SLP

Contact information

Practice address
195 US HIGHWAY 46 STE 101, MINE HILL, NJ 07803-3163
(973) 970-9412
Mailing address
195 US HIGHWAY 46 STE 101, MINE HILL, NJ 07803-3163
(973) 970-9412

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
30050
CA
235Z00000X
Speech-Language Pathologist
Primary
41YS01119200
NJ
235Z00000X
Speech-Language Pathologist
4533
OK

Other

Enumeration date
09/22/2016
Last updated
05/05/2022
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