Individual
MACKENSEY KUBINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LGSW
Contact information
Practice address
30537 POTOMAC WAY, SUITE 101, CHARLOTTE HALL, MD 20622-3179
(240) 718-4823
(301) 884-2525
Mailing address
30537 POTOMAC WAY, SUITE 101, CHARLOTTE HALL, MD 20622-3179
(240) 718-4823
(301) 884-2525
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
18394
MD
Other
Enumeration date
12/10/2015
Last updated
12/10/2015
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