Individual
MS. COLLEEN GLEESON REESE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.013790
IL
1041C0700X
Clinical Social Worker
6801019586
MI
1041C0700X
Clinical Social Worker
SW8339
FL
Other
Enumeration date
12/13/2006
Last updated
10/26/2009
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