Individual
STACEY BRYANT REID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
108 CUBBEDGE DR, RINCON, GA 31326-5750
(912) 486-5178
Mailing address
108 CUBBEDGE DR, RINCON, GA 31326-5750
(912) 486-5178
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW010188
GA
Other
Enumeration date
04/28/2026
Last updated
04/28/2026
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