Individual
RACHAEL MARIE MCCONNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
11392 W 124TH AVE, CEDAR LAKE, IN 46303-8064
(715) 919-1592
Mailing address
11392 W 124TH AVE, CEDAR LAKE, IN 46303-8064
(715) 919-1592
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
33011949A
IN
Other
Enumeration date
04/23/2024
Last updated
04/23/2024
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