Individual
MRS. MACKENZIE K HADDOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11960 WESTLINE INDUSTRIAL DR STE 232, SAINT LOUIS, MO 63146-3209
(314) 579-0800
Mailing address
12 SOUTHWINDS CIR APT 1, WASHINGTON, MO 63090-4546
(636) 221-0136
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
08/13/2018
Last updated
08/13/2018
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