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Organization

JUDIE RILEY LCSW, LLC

Active
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Organization

JUDIE RILEY LCSW, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARY JUDIE RILEY LCSW (PROVIDER)
(302) 383-2078
Entity
Organization

Contact information

Practice address
2601 ANNAND DR STE 20, WILMINGTON, DE 19808-3719
(302) 383-2078
Mailing address
2601 ANNAND DR STE 20, WILMINGTON, DE 19808-3719

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW017590
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
CW017590
CSW LICENSE
PA
01
Q1-0001229
CSW LICENSE
DE
Enumeration date
04/26/2013
Last updated
01/03/2024
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