Individual
MARY REILLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
10 OVERLOOK DR, WILBRAHAM, MA 01095-1924
(413) 596-9044
Mailing address
10 OVERLOOK DR, WILBRAHAM, MA 01095-1924
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1610
MA
Other
Enumeration date
12/14/2015
Last updated
12/14/2015
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