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Individual
RENA ELYYAN
Active
Individual
RENA ELYYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
SC61494677
WA
1041C0700X
Clinical Social Worker
0904016779
VA
1041C0700X
Clinical Social Worker
120573
CA
1041C0700X
Clinical Social Worker
Primary
149.023840
IL
1041C0700X
Clinical Social Worker
20818
OK
1041C0700X
Clinical Social Worker
62899
MT
Other
Enumeration date
06/10/2024
Last updated
06/10/2024
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