Individual
DENISE ARLENE REESOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1216 S INDIANA AVE, GOSHEN, IN 46526-7298
(574) 533-3151
Mailing address
1216 S INDIANA AVE, GOSHEN, IN 46526-7298
(574) 533-3151
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
10231106
IN
103TS0200X
School Psychologist
1337648
IN
Other
Enumeration date
11/08/2024
Last updated
11/08/2024
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