Individual
MACKENZIE CORDOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
450 BROOKLINE AVE, BOSTON, MA 02215-5450
(857) 215-2828
Mailing address
40 FISHER AVE APT 202, BOSTON, MA 02120-3390
(918) 527-9578
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LCSW229661
MA
Other
Enumeration date
09/29/2023
Last updated
09/29/2023
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