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Individual

GABRIELLE REYNOLDS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LISW

Contact information

Practice address
420 N JAMES RD, COLUMBUS, OH 43219-1834
(614) 962-5316
Mailing address
199 LOGANWOOD DR., CENTERVILLE, OH 45458-2539
(937) 610-6464

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
S.1701470
OH
1041C0700X
Clinical Social Worker
Primary
I.2304624
OH

Other

Enumeration date
03/01/2018
Last updated
08/16/2023
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