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Individual

KELLY M REYNERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
1929 23RD AVE, MERIDIAN, MS 39301-3108
(601) 482-7377
(601) 482-7332
Mailing address
1929 23RD AVE, MERIDIAN, MS 39301-3108
(601) 482-7377
(601) 482-7332

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
M7695
MS
1041S0200X
School Social Worker
9796
LA

Other

Enumeration date
10/02/2008
Last updated
10/08/2010
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