Provider Information for 1841512829
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Mrs. RACHAEL MARY MCKINNON LMSW
Other Names:Former Name:RACHAEL MARY CLARK LMSWSex: Female
NPI: 1841512829
Last Updated: 2025-03-14
Certification Date: 2025-03-14
Certification Date: 2025-03-14
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1841512829 | ||||||||
| Enumeration Date | 2010-02-18 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | PO BOX 396 AUBURN, MI 48611-0396 United States Phone: 899-750-1557 | Fax: | ||||||||
| Primary Practice Address | 110 S AUBURN RD AUBURN, MI 48611-9366 United States Phone: 989-750-1557 | Fax: | ||||||||
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