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Individual

MACKENZIE BIRO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
6 WIERK AVE, LIBERTY, NY 12754-2117
(845) 295-4000
Mailing address
1106 GREENVILLE TPKE, MIDDLETOWN, NY 10940-7168

Taxonomy

Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
101089
NY

Other

Enumeration date
09/14/2017
Last updated
09/14/2017
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