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Individual
DR. MARY B MACKEN
Active
Individual
DR. MARY B MACKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH. D
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
22982
CA
103TC2200X
Clinical Child & Adolescent Psychologist
22982
CA
Other
Enumeration date
08/31/2006
Last updated
09/25/2009
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