Individual
PAMELA REYNOLDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
122 DESOTO AVE STE 109, CLARKSDALE, MS 38614-4440
(662) 627-2442
Mailing address
860 E RIVER PL STE 100, JACKSON, MS 39202-3442
(800) 834-9348
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
07/10/2019
Last updated
07/10/2019
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