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ROGER M REYNOLDS LCSW

Clinical >> Social Worker >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1376687939

Individual Registrant:
 ROGER M REYNOLDS LCSW
Gender: M
Sole Proprietor

Location and contact information for practice:
1475 PINE GROVE RD. SUITE 206 STEAMBOAT SPGS, CO 80487 US
Tel: 970-879-5520  Fax: 970-879-6987

Contact information for business:
PO BOX 881275  STEAMBOAT SPGS, CO 80488 US
Tel: 970-879-5520  Fax: 970-879-6987

Registration Information:
NPI: 1376687939
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1041C0700XBehavioral Health & Social Service Providers
Social Worker
Clinical
CO989314

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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