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Individual
ADAM ROSS MACKAY
Active
Individual
ADAM ROSS MACKAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.C.S.W.
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
328947-3501
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
VC0000164309
VENDOR NUMBER WITH UTAH STATE OFFICE OF REHABILITATION
UT
Enumeration date
03/20/2012
Last updated
07/06/2015
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