Individual
WILLOW BRYN REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
8 6TH ST N, NAMPA, ID 83687-5015
(208) 467-7423
Mailing address
308 N SHERWOOD DR, NAMPA, ID 83651-1859
(208) 477-4235
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
LMSW37316
ID
1041C0700X
Clinical Social Worker
Primary
LCSW43175
ID
Other
Enumeration date
03/23/2018
Last updated
07/24/2023
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