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John Reilly, LICSW
NPI 1578661419 · on the registry since 2006
Practice
- Address
- 4123 E Lake St
Minneapolis, MN 55406 - Phone
- (612) 728-2061
- Clinicians at this address
- 16
Additional practice sites
- 1121 E 46th St, Minneapolis, MN
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-07-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota