Individual
RENITA D REED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1301 JONES AVE, JACKSON, MS 39204-2737
(601) 613-9429
Mailing address
260 LOWE CIR APT 21A, RICHLAND, MS 39218-9217
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/19/2017
Last updated
06/19/2017
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