Individual
MR. SEAN MICHAEL REILLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.C.S.W.
Contact information
Practice address
1815 OLD 41 HWY NW, SUITE 110, KENNESAW, GA 30152
(678) 468-9103
Mailing address
1815 OLD 41 HWY NW, SUITE 110, KENNESAW, GA 30152
(678) 468-9103
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW006739
GA
1041C0700X
Clinical Social Worker
LSW0000006235
TN
1041C0700X
Clinical Social Worker
SW11749
FL
Other
Enumeration date
09/09/2015
Last updated
08/05/2019
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