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Individual
MACKENZIE MICHAEL CRANDALL
Active
Individual
MACKENZIE MICHAEL CRANDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LLPC, MA, TLLP
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6451022802
MI
103TC1900X
Counseling Psychologist
6362009701
MI
Other
Enumeration date
02/20/2023
Last updated
06/19/2023
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