Tara Riley

NPI #1063959468 in Petoskey, Michigan

Provider Information

NPI Number: 1063959468
Entity Type: Individual
Name: Tara Riley
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Enumeration Date: Jan 23, 2017
Last Updated: Jan 23, 2017

Practice Location

Address: 616 PETOSKEY ST
Address 2: 005
City: Petoskey
State: Michigan
ZIP Code: 49770-2985
Phone: (231) 330-2895

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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