Provider Information for 1033507652
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RACHEL SALAZAR LCSW
Sex: Female
NPI: 1033507652
Last Updated: 2020-07-30
Certification Date: 2020-07-30
Certification Date: 2020-07-30
Details
| Name | Value | ||||||||
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| NPI | 1033507652 | ||||||||
| Enumeration Date | 2015-01-05 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 209 WOODLAND CT O FALLON, IL 62269-3500 United States Phone: 303-564-0711 | Fax: | ||||||||
| Primary Practice Address | 209 WOODLAND CT O FALLON, IL 62269-3500 United States Phone: 303-564-0711 | Fax: | ||||||||
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