Individual
EILEEN MARIE MACKENZIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
317 S ALBERT ST, MOUNT PROSPECT, IL 60056-3407
(224) 345-9950
Mailing address
317 S ALBERT ST, MOUNT PROSPECT, IL 60056-3407
(224) 345-9950
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149-008114
IL
Other
Enumeration date
01/18/2022
Last updated
01/18/2022
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