Individual
MAKAELA ROSE MACKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LICSW
Contact information
Practice address
411 3RD ST N, WAITE PARK, MN 56387
(320) 230-0611
Mailing address
411 3RD ST N, WAITE PARK, MN 56387
(320) 230-0611
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
28114
MN
Other
Enumeration date
12/02/2020
Last updated
08/10/2023
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