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Individual

RITA MACK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PMHCNS- BC, MSN

Contact information

Practice address
10000 ANNS CHOICE WAY, WARMINSTER, PA 18974-3527
(215) 443-3850
(215) 443-3963
Mailing address
5525 RESEARCH PARK DR, 4TH FLOOR, BALTIMORE, MD 21228-4873
(215) 443-3850
(215) 443-3963

Taxonomy

Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
RN523062L
PA

Other

Enumeration date
12/22/2014
Last updated
12/22/2014
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