Individual
JOSEPH REILLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
2955 MADISON AVE APT 12, BRIDGEPORT, CT 06606-2068
(203) 560-0708
Mailing address
2955 MADISON AVE APT 12, BRIDGEPORT, CT 06606-2068
(203) 560-0708
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
9518
CT
Other
Enumeration date
11/12/2016
Last updated
11/12/2016
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