MR. Timothy Mark Riley, LSW

NPI #1235345992 in Springfield, Ohio

Provider Information

NPI Number: 1235345992
Entity Type: Individual
Name: MR. Timothy Mark Riley, LSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Credential: LSW
Enumeration Date: May 16, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 1111 N PLUM ST
Address 2: SUITE #10
City: Springfield
State: Ohio
ZIP Code: 45504-2154
Phone: (937) 398-0014

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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