Individual
AUDREY N REYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
304 MERCHANT ST, VACAVILLE, CA 95688
(707) 639-9158
(707) 419-4673
Mailing address
607 ELMIRA RD # 355, VACAVILLE, CA 95687-4655
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
71187
CA
Other
Enumeration date
11/07/2017
Last updated
03/18/2022
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