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Individual
MS. LYDIA J. REYNOLDS
Active
Individual
MS. LYDIA J. REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
063636
NY
1041C0700X
Clinical Social Worker
Primary
C008301
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00030241501
UNIVERA
NY
05
—
1114988300
—
NC
Enumeration date
03/29/2006
Last updated
07/21/2022
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