Individual
KYM A REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
179 W CHESTNUT HILL RD STE 5, NEWARK, DE 19713-2210
(302) 861-6662
Mailing address
179 W CHESTNUT HILL RD STE 5, NEWARK, DE 19713-2210
(302) 861-6662
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
Q1-0000716
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
375407
—
DE
Enumeration date
11/19/2008
Last updated
06/16/2022
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