Individual
CHARITY REILLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
6120 VISTA CROSSING WAY, CUMMING, GA 30028-2275
(770) 990-7612
Mailing address
6120 VISTA CROSSING WAY, CUMMING, GA 30028-2275
(770) 990-7612
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW8663
FL
Other
Enumeration date
08/12/2022
Last updated
08/12/2022
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