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Individual

RAYLENE MCKINNON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW-BACS

Contact information

Practice address
1945 CAROLYN SUE DR, BATON ROUGE, LA 70815-5509
(225) 928-9398
(225) 928-9490
Mailing address
1945 CAROLYN SUE DR, BATON ROUGE, LA 70815-5509
(225) 928-9398
(225) 928-9490

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3198
TX

Other

Enumeration date
08/26/2015
Last updated
09/17/2015
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