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Individual
RACHEL MALLORY BURNS
Active
Individual
RACHEL MALLORY BURNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
007292
IA
101YM0800X
Mental Health Counselor
30472
CA
1041C0700X
Clinical Social Worker
Primary
76113
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
76113
BBS
CA
Enumeration date
02/07/2011
Last updated
08/02/2021
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