Individual
MELISSA N REYNOLDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
209 E LAYFAIR DR, FLOWOOD, MS 39232-9527
(601) 936-9190
Mailing address
104 MEADOWVIEW RDG, BRANDON, MS 39047-7328
(601) 624-4497
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C5069
MS
Other
Enumeration date
10/06/2011
Last updated
05/08/2017
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