Individual
LAUREN CAMILLE REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2164 SOUTHRIDGE DR, TUPELO, MS 38801-6417
(662) 760-0115
Mailing address
579 ROAD 1093, PLANTERSVILLE, MS 38862-4906
(662) 523-3450
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
MS
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001437332
—
MS
05
—
834622726
—
MS
Enumeration date
01/31/2024
Last updated
01/31/2024
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