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Individual

MS. JAN B REYNOLDS

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
2501 CAPEHART RD, EHRLING BERGQUIST HOSPITAL - FAMILY ADVOCACY CLINIC, OFFUTT A F B, NE 68113-1043
(402) 294-7886
(402) 232-7291
Mailing address
10867 POLK ST, OMAHA, NE 68137-4700
(402) 294-7886
(402) 232-7291

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LMHP - 1145/CMSW-683
NE

Other

Enumeration date
09/23/2005
Last updated
07/08/2007
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