Individual
MS. LYNN ROSE MACKINNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
5823 ASHBOURNE LN SE, OLYMPIA, WA 98501-9120
(360) 753-9130
Mailing address
5823 ASHBOURNE LN SE, OLYMPIA, WA 98501-9120
(360) 753-9130
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LW00006866
WA
1041C0700X
Clinical Social Worker
Primary
LW00006866
WA
Other
Enumeration date
10/20/2010
Last updated
10/21/2010
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