Individual
TA'JHA RILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
4101 S 4TH ST BLDG 160F248, LEAVENWORTH, KS 66048-5014
(913) 368-2000
Mailing address
4101 S 4TH ST BLDG 160F248, LEAVENWORTH, KS 66048-5014
(913) 368-2000
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
12500
KS
Other
Enumeration date
09/26/2023
Last updated
09/26/2023
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