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Individual

MACKENZIE COMANDA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
2057 PULASKI HWY, NORTH EAST, MD 21901-3744
(443) 877-4044
Mailing address
9309 ELGIN LN, FREDERICK, MD 21704-7004
(240) 812-2926

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
25726
MD

Other

Enumeration date
10/14/2021
Last updated
10/14/2021
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