Individual
ANGELA BROOKE RILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLMSW
Contact information
Practice address
204 MEADOWS DR, GRAYLING, MI 49738-2013
(231) 463-9569
Mailing address
1129 N ROSCOMMON RD, ROSCOMMON, MI 48653-9206
(231) 340-9573
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
6802090364
MI
1041C0700X
Clinical Social Worker
Primary
6851117204
MI
Other
Enumeration date
09/01/2021
Last updated
08/09/2023
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