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Individual

ANDREW MACKEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
3701 12TH ST N, SUITE 203, SAINT CLOUD, MN 56303-2255
(320) 253-3512
Mailing address
1900 SILVER LAKE RD NW STE 110, NEW BRIGHTON, MN 55112-1789
(651) 628-9566
(651) 628-0411

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
1041C0700X
Clinical Social Worker
Primary
24089
MN

Other

Enumeration date
11/28/2016
Last updated
05/11/2018
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