Individual
ANNALESE RAYEN DUTCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C004007
NC
1041C0700X
Clinical Social Worker
Primary
P019401
NC
Other
Enumeration date
07/17/2023
Last updated
05/05/2026
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