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Individual
AUDREY MACKINAC GARCIA
Active
Individual
AUDREY MACKINAC GARCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
0009924098
CO
1041C0700X
Clinical Social Worker
Primary
6843
SD
1041C0700X
Clinical Social Worker
CSW.09931013
CO
Other
Enumeration date
08/13/2024
Last updated
08/19/2025
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