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1275131526
JONATHAN MARK RILEY
PHILADELPHIA, PA
NPI
1275131526
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: DE Q1-0012392)
Enumeration Date
2020-10-09
Last Update Date
2024-01-17
Business Address
Mr. JONATHAN MARK RILEY LCSW
3900 WOODLAND AVE
PHILADELPHIA, PA 19104-4551
Phone number: 215-823-5800
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Mailing Address
Mr. JONATHAN MARK RILEY LCSW
1400 BLACKHORSE HILL RD
COATESVILLE, PA 19320-2040
Phone number: 106-384-7711
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