Individual
MARTHA ANN MACKENZIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D, LICSW
Contact information
Practice address
16150 NE 85TH ST STE 222, REDMOND, WA 98052-3546
(425) 869-6687
(877) 880-4388
Mailing address
16150 NE 85TH ST STE 222, REDMOND, WA 98052-3546
(425) 869-6687
(877) 880-4388
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW00005652
WA
Other
Enumeration date
03/04/2008
Last updated
03/04/2008
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