Individual
MS. DEBORAH ANN REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW-S
Contact information
Practice address
212 COOK RD, LEBANON, OH 45036-9600
(513) 896-7887
Mailing address
212 COOK RD, LEBANON, OH 45036-9600
(513) 896-7887
(513) 896-5682
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I.0008873-SUPV
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0280685
—
OH
05
—
3023
—
OH
Enumeration date
09/26/2007
Last updated
09/30/2021
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