Individual
MONIQUE MACKELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1114 BENFIELD BLVD STE G, MILLERSVILLE, MD 21108-2589
(410) 709-6488
Mailing address
1114 BENFIELD BLVD STE G, MILLERSVILLE, MD 21108-2589
(410) 709-6488
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
25267
MD
Other
Enumeration date
08/19/2021
Last updated
10/15/2022
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