Individual
JANE LUCILE MELLO REYNOLDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3020 CHILDRENS WAY, SAN DIEGO, CA 92123-4223
(858) 966-1700
Mailing address
3882 CATAMARCA DR, SAN DIEGO, CA 92124-3404
(858) 277-6323
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LCS 17556
CA
Other
Enumeration date
12/19/2011
Last updated
12/19/2011
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