Individual
DR. JO ANN MACKINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYCHOLOGIST
Contact information
Practice address
8169 OLD MONTGOMERY RD, ELLICOTT CITY, MD 21043-7940
(410) 696-7449
Mailing address
8169 OLD MONTGOMERY RD, ELLICOTT CITY, MD 21043-7940
(410) 696-7449
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
03455
MD
Other
Enumeration date
08/06/2019
Last updated
08/06/2019
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