Individual
MACKENZIE SERING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1955 DUSTY RD, DANVILLE, IN 46122-8717
(317) 341-4143
Mailing address
1955 DUSTY RD, DANVILLE, IN 46122-8717
(317) 341-4143
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34008496A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0
N/A
—
Enumeration date
10/28/2022
Last updated
10/28/2022
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