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Individual

MR. MARK ALAN MCKINNEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
1698 LIBERTY ST SE, SALEM, OR 97302-4348
(503) 363-5435
Mailing address
1698 LIBERTY ST SE, SALEM, OR 97302-4348
(503) 363-5435

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1674
OR

Other

Enumeration date
12/30/2006
Last updated
07/08/2007
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