Individual
LEANNA H REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, APSW
Contact information
Practice address
2702 INTERNATIONAL LN STE 102, MADISON, WI 53704-3117
(608) 405-5712
(608) 405-5716
Mailing address
PO BOX 301, PORTAGE, WI 53901-0301
(608) 742-5518
(608) 742-4087
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
132127
WI
1041C0700X
Clinical Social Worker
Primary
11386-123
WI
Other
Enumeration date
01/27/2022
Last updated
11/01/2023
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