Individual
JANE RILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
224 COLUMBUS RD, ATHENS, OH 45701-1334
(740) 592-6720
Mailing address
PO BOX 724, ATHENS, OH 45701-0724
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1450708-SUP
OH
Other
Enumeration date
06/15/2016
Last updated
06/15/2016
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