Individual
AUDREY MACKINAC GARCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2405 E 19TH ST, SIOUX FALLS, SD 57103-2358
(612) 965-3947
Mailing address
PO BOX 110429, AURORA, CO 80042-0429
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
0009924098
CO
1041C0700X
Clinical Social Worker
Primary
6843
SD
1041C0700X
Clinical Social Worker
CSW.09931013
CO
Other
Enumeration date
08/13/2024
Last updated
08/19/2025
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