NPI 1033202585

Susan Reynolds, LICSW

Practitioner Clinical Social Worker St Louis Park, MN

Practice location

Address: 4601 Excelsior Blvd STE 400, St Louis Park, MN 55416-4977
Phone: (952) 925-3533

Registered specialties

Clinical Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence 7079 (MN)

Other Social Worker providers in Minnesota →

Registry record

NPI: 1033202585
Entity type: Individual
Sex (as registered): Female
NPI issued: 2 Oct 2006
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.