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General NPI Number Information
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NPI Number | 1427761410
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Entity Type | Individual
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Provider Name | KAYLA JO RAINS LCSW
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Gender | Female
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Dates
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Enumeration Date | 01/04/2023
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Last Update Date | 02/24/2025
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Provider Practice Location Address
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Address Line | 1278 W US HIGHWAY 40
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City | ODESSA
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State | MO
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Zip | 64076-9612
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Country | US
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Telephone | 844-853-8937
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Fax |
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Provider Business Mailing Address
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Address Line | 101 CENTER ST
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City | WINDSOR
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State | MO
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Zip | 65360-1625
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Country | US
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Telephone | 660-351-4624
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 2025004575
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License Number State | MO
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