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Individual

MRS. KIMBERLY DENISE REYNOLDS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PH.D

Contact information

Practice address
1078 CITIZEN PARKWAY STE I, MORROW, GA 30260
(404) 936-0320
Mailing address
POST OFFICE BOX 1096, ELLENWOOD, GA 30294
(404) 936-0320

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
GA
106H00000X
Marriage & Family Therapist
GA
171M00000X
Case Manager/Care Coordinator
GA

Other

Enumeration date
06/24/2014
Last updated
12/14/2015
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