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Individual
ROBERT MCKENSEY MACK
Active
Individual
ROBERT MCKENSEY MACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW, PPS
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW95367
CA
225400000X
Rehabilitation Practitioner
—
—
Other
Enumeration date
10/25/2016
Last updated
11/24/2025
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