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Individual
MONIQUE FRANCENE MACK
Active
Individual
MONIQUE FRANCENE MACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
83181
CA
104100000X
Social Worker
—
HI
106H00000X
Marriage & Family Therapist
Primary
83181
CA
390200000X
Student in an Organized Health Care Education/Training Program
83181
CA
Other
Enumeration date
11/10/2014
Last updated
02/18/2020
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