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Individual
MRS. LEAH MACKUS
Active
Individual
MRS. LEAH MACKUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LLMSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
L1788972
MI
1041C0700X
Clinical Social Worker
L2547191
MI
1041C0700X
Clinical Social Worker
Primary
P715114
MI
Other
Enumeration date
02/29/2012
Last updated
09/01/2021
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