Individual
MR. JOHN THOMAS REILLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW LCSW SACIT
Contact information
Practice address
1969 W HART RD, BELOIT, WI 53511
(608) 364-5686
(608) 363-5756
Mailing address
3610 RURAL ST, APT #3, ROCKFORD, IL 61107
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6931123
WI
Other
Enumeration date
02/16/2007
Last updated
07/08/2007
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