Individual
AUTUMN BROOKE REAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1240 ASHLEY CIR STE B, BOWLING GREEN, KY 42104-3344
(615) 388-2888
Mailing address
1240 ASHLEY CIR STE B, BOWLING GREEN, KY 42104-3344
(615) 388-2888
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/15/2026
Last updated
06/15/2026
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