Individual
BRIAN LEIGH REID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
727 N HICKORY ST, CENTRALIA, IL 62801-2227
(618) 533-1891
Mailing address
727 N HICKORY ST, CENTRALIA, IL 62801-2227
(618) 533-1891
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Enumeration date
01/25/2019
Last updated
01/25/2019
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