Individual
MR. JAMES EDWIN RILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1025 WAGON TRAIL LN, GOLDSBY, OK 73093-9153
(405) 288-2611
Mailing address
1025 WAGON TRAIL LN, GOLDSBY, OK 73093-9153
(405) 288-2611
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
3484
OK
1041C0700X
Clinical Social Worker
Primary
3953
OK
Other
Enumeration date
11/01/2007
Last updated
01/12/2012
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