Individual
RACHEL BAE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12129 MANOR DR, APT.44, HAWTHORNE, CA 90250-3730
(978) 833-3620
Mailing address
12129 MANOR DR, APT.44, HAWTHORNE, CA 90250-3730
(978) 833-3620
Taxonomy
Speciality
Code
Description
License number
State
103TF0200X
Forensic Psychologist
Primary
—
—
Other
Enumeration date
07/18/2013
Last updated
07/18/2013
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