Individual
KRISTINE AMANDA REZNY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4425 S JONES BLVD STE D3, LAS VEGAS, NV 89103-3370
(702) 991-3150
Mailing address
2558 S SEPULVEDA BLVD APT 1, LOS ANGELES, CA 90064-3171
(630) 935-8688
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
R25050190795
IL
1041C0700X
Clinical Social Worker
Primary
115876
CA
Other
Enumeration date
10/08/2013
Last updated
01/03/2024
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