Individual
MISS MACKENZIE VIVIAN MCCOWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLBSW
Contact information
Practice address
5340 HOLIDAY TER STE 9, KALAMAZOO, MI 49009-2196
(269) 381-4446
(269) 381-4457
Mailing address
785 CHARLIE CT APT 3D, PORTAGE, MI 49002-7926
(269) 501-5282
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
6852093336
MI
Other
Enumeration date
05/31/2022
Last updated
05/31/2022
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