Individual
RENEE GRACE REAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
109 BEE ST, CHARLESTON, SC 29401-5703
(843) 789-6568
(843) 805-5798
Mailing address
7992 SHADOW OAK DR, CHARLESTON, SC 29406-9573
(843) 789-6568
(843) 805-5798
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
5388
SC
Other
Enumeration date
03/01/2007
Last updated
07/08/2007
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