Individual
MS. ALICE A MACKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2131 N 49TH ST, MILWAUKEE, WI 53208-1104
(414) 409-3546
Mailing address
2131 N 49TH ST, MILWAUKEE, WI 53208-1104
(207) 522-1219
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4058
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39732700
—
WI
Enumeration date
12/14/2006
Last updated
10/16/2023
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