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Individual
MRS. HALEY ALICE' REYNOLDS
Active
Individual
MRS. HALEY ALICE' REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ALC
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
C1882A
AL
Other
Enumeration date
10/03/2011
Last updated
10/03/2011
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