Individual
MACKENZIE LOUISE HAMMOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
228 GENESIS LN, GUSTON, KY 40142-6201
(919) 924-8744
Mailing address
21600 OXNARD ST, ATE 1800, WOODLAND HILLS, CA 91367-7807
(818) 345-2345
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
H15637245
KY
Other
Enumeration date
02/20/2018
Last updated
02/20/2018
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