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Individual
JENNIFER REYNOLDS
Active
Individual
JENNIFER REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW-C
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
19120
MD
1041C0700X
Clinical Social Worker
Primary
0904013138
VA
1041C0700X
Clinical Social Worker
19120
MD
1041C0700X
Clinical Social Worker
LC200001347
DC
Other
Enumeration date
07/16/2020
Last updated
09/22/2022
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