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Individual

MACKENZIE FORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LISW

Contact information

Practice address
1206 C AVE, VINTON, IA 52349-1448
(319) 929-4835
Mailing address
3640 UNIVERSITY AVE, WATERLOO, IA 50701-5622
(319) 233-3579

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
100913
IA

Other

Enumeration date
03/27/2025
Last updated
03/27/2025
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