Individual
MACKENZIE BEHOF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
4325 WILLIAMS BLVD SW, CEDAR RAPIDS, IA 52404-3436
(319) 368-8400
Mailing address
965 S 15TH ST, MARION, IA 52302-5004
(773) 807-0875
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
094005
IA
Other
Enumeration date
11/05/2018
Last updated
12/26/2018
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