Individual
SKYLAR R MACKENZIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
301 ROUTE 17 STE 800, RUTHERFORD, NJ 07070-2596
(201) 205-2158
Mailing address
333 6TH ST, CARLSTADT, NJ 07072-1018
(551) 221-5961
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/10/2025
Last updated
06/10/2025
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