Individual
AMY BROOKS REYNOLDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-6000
Mailing address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-6000
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LICSW110537
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110537
LICSW
MA
Enumeration date
12/31/2018
Last updated
10/03/2023
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