Individual
MACKENZIE HITCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
62 ELM ST, PORTLAND, ME 04101-3091
(207) 535-2096
Mailing address
PO BOX 167833, OREGON, OH 43616-7833
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
MC23606
ME
Other
Enumeration date
06/25/2024
Last updated
06/25/2024
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