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Organization
D. MACK CONSULTING LLC
Active
Organization
D. MACK CONSULTING LLC
Active
Other names
D. Mack Consulting LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DARRIEN DENARD MACK RBT-20-117604 (REGISTERED BEHAVIOR TECHNICIAN)
(850) 774-5832
Entity
Organization
Contact information
Practice address
1614 LINCOLN AVE, PANAMA CITY, FL 32405-3148
(850) 774-5832
Mailing address
1614 LINCOLN AVE, PANAMA CITY, FL 32405-3148
(850) 774-5832
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
NULL
Other
Enumeration date
12/04/2020
Last updated
12/04/2020
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