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Individual

CODY LEE REINKE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MSW, LICSW

Contact information

Practice address
113 E HICKORY ST, MANKATO, MN 56001-3630
(507) 388-8114
(507) 388-8068
Mailing address
2970 JUDICIAL RD STE 100, BURNSVILLE, MN 55337-7822
(952) 224-8990

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
30251
MN
1041C0700X
Clinical Social Worker
Primary
30251
MN

Other

Enumeration date
03/03/2022
Last updated
03/04/2025
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