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Individual
MACKENZIE MCNABB
Active
Individual
MACKENZIE MCNABB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
96943
CA
390200000X
Student in an Organized Health Care Education/Training Program
76844
CA
Other
Enumeration date
09/16/2015
Last updated
12/28/2021
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