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Marcus Reynolds

Case Manager/Care Coordinator in Indianapolis, IN. Individual provider (NPI-1).

NPI number1164029674
StatusActive
Last updated in NPPESOct 7, 2020

Details

NPI
1164029674
Entity type
Individual (NPI-1)
Name
Marcus Reynolds
Sex
Male
Sole proprietor
Yes
Enumeration date
Oct 7, 2020
Certification date
Oct 7, 2020
Last updated
Oct 7, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171M00000X Case Manager/Care Coordinator––Yes

Practice location

2346 S Lynhurst Dr Ste 200
Indianapolis, IN 46241-5135

Phone 317-502-1456

Mailing address

2346 S Lynhurst Dr Ste 200
Indianapolis, IN 46241-5135

Phone 317-502-1456

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