# RENA ELYYAN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1548002678
- **Gender:** F

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 104100000X | Social Worker | SC61494677 | WA | — |
| 1041C0700X | Clinical Social Worker | 0904016779 | VA | — |
| 1041C0700X | Clinical Social Worker | 120573 | CA | — |
| 1041C0700X | Clinical Social Worker | 149.023840 | IL | Yes |
| 1041C0700X | Clinical Social Worker | 20818 | OK | — |
| 1041C0700X | Clinical Social Worker | 62899 | MT | — |

## Other

- **Enumeration date:** 06/10/2024
- **Last updated:** 06/10/2024