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Individual

MRS. STEPHANIE T REYNOLDS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW-C

Contact information

Practice address
5570 STERRETT PL, SUITE 206, COLUMBIA, MD 21044-2641
(410) 884-6031
(410) 884-6134
Mailing address
5570 STERRETT PL, SUITE 206, COLUMBIA, MD 21044-2641
(410) 884-6031
(410) 884-6134

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
13028
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4455274 00
MD
Enumeration date
01/11/2007
Last updated
09/17/2014
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