Individual
MACKENZIE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2111 S 7TH ST, IRONTON, OH 45638-2538
(740) 646-6640
Mailing address
2111 S 7TH ST, IRONTON, OH 45638-2538
(740) 646-6640
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
512073
OH
Other
Enumeration date
07/27/2022
Last updated
07/27/2022
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