Individual
MCKENZIE MISCHELLE LANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
3644 E MCDOWELL RD UNIT 203, PHOENIX, AZ 85008-4344
(828) 260-8513
Mailing address
3644 E MCDOWELL RD UNIT 203, PHOENIX, AZ 85008-4344
(828) 260-8513
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
07/24/2025
Last updated
07/24/2025
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