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Individual
LARIN LYNN REARDEN
Active
Individual
LARIN LYNN REARDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
01092014
KY
104100000X
Social Worker
Primary
I1700255
OH
104100000X
Social Worker
S1451233
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0225208
—
OH
05
—
1932526092
—
WV
05
—
7100460900
—
KY
Enumeration date
03/26/2014
Last updated
10/29/2020
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