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Individual

MCKAYLA P FATA

Active
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Individual

MCKAYLA P FATA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSW, LSW, LCSW

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
150114286
IL
1041C0700X
Clinical Social Worker
Primary
149041277
IL
1041C0700X
Clinical Social Worker
Primary
150114286
IL

Other

Enumeration date
03/20/2023
Last updated
07/06/2026
About Stedi
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  • EDI platform