KELLY REYNERSON, LMSW
Social Worker - Clinical
Active
Individual
NPI: 1629229158
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Social Worker - School | 1041S0200X | No | 9796 (LA) |
| Social Worker - Clinical | 1041C0700X | Yes | M7695 (MS) |
Frequently Asked Questions
NPI 1629229158 is the National Provider Identifier for KELLY REYNERSON, LMSW, a Social Worker - Clinical provider located in Meridian, MS. This NPI was enumerated on October 2, 2008.
KELLY REYNERSON, LMSW practices at 1929 23RD AVE, Meridian, MS 39301.
Quick Facts
- NPI
- 1629229158
- Type
- Individual
- Enumerated
- Oct 2, 2008
- Last Updated
- Oct 8, 2010
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