Individual
MACKENZIE NICOLE KAHLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9019 WASHINGTON ST NE STE A, ALBUQUERQUE, NM 87113-2435
(505) 856-6880
Mailing address
2700 CAMPUS BLVD NE, MAILBOX #1861:8683, ALBUQUERQUE, NM 87106
(575) 312-6712
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/28/2024
Last updated
10/28/2024
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