Individual
MACKENZIE THRONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 DAVIS SQ, SOMERVILLE, MA 02144-2904
(617) 623-6111
Mailing address
PO BOX 440436, SOMERVILLE, MA 02144-0006
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/24/2018
Last updated
05/24/2018
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