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Individual
KHANNI REBECCA BILLS
Active
Individual
KHANNI REBECCA BILLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
308492-3501
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
308492-3501
UTAH STATE DEPT OF PROFESSIONAL LICENSING
UT
Enumeration date
02/11/2015
Last updated
02/11/2015
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