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Individual
RACHEL ELIZA BALLANTINE
Active
Individual
RACHEL ELIZA BALLANTINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW.09926384
CO
Other
Enumeration date
08/22/2016
Last updated
12/04/2019
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