Individual
MACKENZIE L LOUIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
373 S WILLOW ST STE 266, MANCHESTER, NH 03103-5751
(877) 315-8080
Mailing address
373 S WILLOW ST STE 266, MANCHESTER, NH 03103-5751
(877) 315-8080
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
Y7556766
CA
Other
Enumeration date
02/22/2022
Last updated
10/17/2023
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