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Individual
MACKENZIE A DAVIS
Active
Individual
MACKENZIE A DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
257857
KY
1041C0700X
Clinical Social Worker
Primary
I.2304840-SUPV
OH
Other
Enumeration date
09/13/2023
Last updated
04/08/2025
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