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1902259096
IMANI REYNOLDS
ROSEVILLE, CA
NPI
1902259096
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2016-07-13
Last Update Date
2016-07-13
Business Address
-- IMANI REYNOLDS
1133 COLOMA WAY
ROSEVILLE, CA 95661-4480
Phone number: 916-774-6647
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Mailing Address
-- IMANI REYNOLDS
2816 NORCADE CIR APT 4
SACRAMENTO, CA 95826-3447
Phone number: 209-423-7562
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