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Individual
REBECCA MAE BADGETT
Active
Individual
REBECCA MAE BADGETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
LCSW101265
CA
1041C0700X
Clinical Social Worker
ASW69413
CA
1041C0700X
Clinical Social Worker
Primary
LCSW101265
CA
Other
Enumeration date
03/01/2007
Last updated
06/01/2021
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