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Individual

DR. GLENDA PHILLIPS REYNOLDS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ED. D.

Contact information

Practice address
575 RIDGE PARK DR, MONTGOMERY, AL 36117-8032
(334) 538-0900
Mailing address
207 WINTON BLOUNT LOOP, MONTGOMERY, AL 36117-3507
(334) 538-0900
(334) 356-1433

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C1613A
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
C1613A
STATE LICENSE
AL
Enumeration date
01/31/2010
Last updated
01/31/2010
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