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Individual
GIA J MCKINZIE
Active
Individual
GIA J MCKINZIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
OR
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
L10719
OR
104100000X
Social Worker
LSW.0009921186
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500774015
—
OR
Enumeration date
03/29/2017
Last updated
09/20/2022
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