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Individual

MACKENZIE ENSLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
20 CATAMORE BLVD, EAST PROVIDENCE, RI 02914-1204
(617) 658-5611
Mailing address
53 BROAD ST, PROVIDENCE, RI 02903-7700

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RI

Other

Enumeration date
01/16/2026
Last updated
01/16/2026
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