Individual
GINA MACKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
101 SAVANNAH GARDNER RD, NEW CASTLE, PA 16101-5544
(724) 272-0179
Mailing address
101 SAVANNAH GARDNER RD, NEW CASTLE, PA 16101-5544
(724) 272-0179
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW017814
PA
Other
Enumeration date
11/03/2013
Last updated
03/31/2014
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