Individual
MR. JOSEPH WILLIAM REYNOLDS IV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
704 HISTORIC ROUTE 66 W, SUITE 101, WAYNESVILLE, MO 65583
(573) 433-4846
Mailing address
166 BOSA DR, SAINT ROBERT, MO 65584-4643
(573) 528-3510
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
2023018578
MO
Other
Enumeration date
06/06/2023
Last updated
06/06/2023
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