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Individual

CHELSEA LEA RAINEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSW, LCSW

Contact information

Practice address
4480 GRETNA RD, BRANSON, MO 65616-7202
(417) 761-5492
(417) 336-1204
Mailing address
1300 E BRADFORD PKWY, SPRINGFIELD, MO 65804-4264
(417) 761-5000
(417) 761-5065

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
2018038770
MO
1041C0700X
Clinical Social Worker
Primary
2021008481
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
490063476
MO
Enumeration date
10/30/2018
Last updated
03/31/2021
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