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Individual
KAITLYN RENEE MACKEY
Active
Individual
KAITLYN RENEE MACKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
SW137321
PA
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
NA
PA
Other
Enumeration date
11/10/2019
Last updated
09/01/2021
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