Individual
MRS. ANGELA REYNOLDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
120 BOOKER RD, NATCHEZ, MS 39120-2106
(601) 431-7383
Mailing address
120 BOOKER RD, NATCHEZ, MS 39120-2106
(601) 431-7383
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/03/2016
Last updated
10/03/2016
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