Individual
KASANDRA MCKENZIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1306 HARTZOG LOOP, NORTH POLE, AK 99705-5508
(915) 588-2341
Mailing address
1306 HARTZOG LOOP, NORTH POLE, AK 99705-5508
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/20/2017
Last updated
02/20/2017
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