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Individual
CHRISTIE J MACKSON
Active
Individual
CHRISTIE J MACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
101.0135733
VT
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
404905
NY
Other
Enumeration date
10/18/2022
Last updated
05/08/2023
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