Individual
DAVID JACOB REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LSWAIC
Contact information
Practice address
1902 2ND AVE STE 208, SEATTLE, WA 98101-1186
(206) 678-4025
Mailing address
1902 2ND AVE, SEATTLE, WA 98101-1155
(206) 956-9570
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SC61437908
WA
171M00000X
Case Manager/Care Coordinator
—
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SC61437908
DEPARTMENT OF HEALTH
WA
Enumeration date
06/21/2021
Last updated
08/18/2023
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