Individual
MACKENSON YRELUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4110 TRIANA BLVD SW APT 119, HUNTSVILLE, AL 35805-5444
(239) 462-0305
Mailing address
4110 TRIANA BLVD SW APT 119, HUNTSVILLE, AL 35805-5444
(239) 462-0305
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
—
—
Other
Enumeration date
10/09/2023
Last updated
10/09/2023
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