Individual
MR. KEVIN DARNELL MACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
149 HIGH ST, GREENFIELD, MA 01301-2614
(413) 736-8329
(413) 732-5362
Mailing address
147 NORMAN ST, WEST SPRINGFIELD, MA 01089-5003
(413) 736-8329
(413) 732-5362
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
07/22/2009
Last updated
07/22/2009
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