Individual
JENNIFER ALINE REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSW
Contact information
Practice address
420 N LORETTO RD STE 200, LEBANON, KY 40033-1630
(270) 321-4480
Mailing address
PO BOX 343, ELIZABETHTOWN, KY 42702-0343
(270) 506-2730
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
253099
KY
1041C0700X
Clinical Social Worker
Primary
257174
KY
Other
Enumeration date
02/23/2019
Last updated
09/22/2022
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