Individual
ALICIA REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
966 PROSPECT AVE, BRONX, NY 10459-3270
(929) 259-1313
Mailing address
100 DEBS PL APT 22F, BRONX, NY 10475-2505
(347) 638-0652
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
109157
NY
Other
Enumeration date
02/28/2020
Last updated
02/28/2020
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