Individual
CHERI RILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PLPC
Contact information
Practice address
512 E CANAAN RD, GERALD, MO 63037-2514
(573) 764-4748
Mailing address
512 E CANAAN RD, GERALD, MO 63037-2514
(573) 764-4748
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2015042359
MO
Other
Enumeration date
01/05/2016
Last updated
01/05/2016
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