Individual
MRS. FRANCES H REYNOLDS LANDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW ICADC
Contact information
Practice address
303 N 12TH AVE, SUITE 204, POCATELLO, ID 83201-4746
(208) 223-8842
Mailing address
303 N 12TH AVE, SUITE 204, POCATELLO, ID 83201-4746
(208) 223-8842
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LMSW28385
ID
Other
Enumeration date
06/09/2008
Last updated
06/09/2008
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