MS. Susan Reynolds, LICSW
NPI #1033202585 in St Louis Park, Minnesota
Provider Information
- NPI Number
- 1033202585
- Entity Type
- Individual
- Name
- MS. Susan Reynolds, LICSW
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Credential
- LICSW
- Enumeration Date
- Oct 2, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 4601 EXCELSIOR BLVD STE 400
- City
- St Louis Park
- State
- Minnesota
- ZIP Code
- 55416-4977
- Phone
- (952) 925-3533
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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