Individual
CHRISTINA A MACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
1521 GULL RD, KALAMAZOO, MI 49048-1640
(269) 226-4858
Mailing address
5943 STADIUM DR, STE 1, KALAMAZOO, MI 49009-3016
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801090929
MI
Other
Enumeration date
01/19/2011
Last updated
01/19/2011
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