Individual
DESAREE REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4455 NE HIGHWAY 20, CORVALLIS, OR 97330-9695
(541) 757-1852
Mailing address
920 SE VIEWMONT AVE, CORVALLIS, OR 97333-2023
(541) 231-2229
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
12/05/2007
Last updated
12/05/2007
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