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Individual

PAMELA MACKIE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MFT

Contact information

Practice address
500 LANIER AVE W STE 908, FAYETTEVILLE, GA 30214-7641
(404) 666-0565
Mailing address
217 BROOKLYN AVE, BROOKLYN, NY 11213-1906
(917) 846-3694

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary

Other

Enumeration date
07/25/2023
Last updated
09/27/2024
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