Individual
BRENDA REYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2108 CONGRESS LN, SAINT CLOUD, FL 34769-7074
(407) 307-5884
Mailing address
2108 CONGRESS LN, SAINT CLOUD, FL 34769-7074
(407) 307-5884
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
11/14/2016
Last updated
11/14/2016
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