Individual
RENO JAMES ROBERTS
Active
Individual
RENO JAMES ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
MSW009179
GA
1041C0700X
Clinical Social Worker
Primary
CSW008457
GA
1041C0700X
Clinical Social Worker
MSW009179
GA
Other
Enumeration date
05/11/2020
Last updated
02/09/2023
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