Individual
MACKENZIE CARA WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
31 6TH ST, MALONE, NY 12953-1246
(518) 483-3261
(518) 483-3383
Mailing address
1245 COUNTY ROUTE 25, MALONE, NY 12953-6023
(518) 483-3261
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
09/14/2020
Last updated
09/14/2020
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