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Individual
MS. REBECCA SUE HYATT
Active
Individual
MS. REBECCA SUE HYATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, CEAP
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCS9075
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050513
MANAGED HEALTH NETWORK
CA
01
—
072767000
MAGELLAN PROVIDER #
CA
Enumeration date
07/07/2006
Last updated
08/06/2019
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