Individual
MACKENZIE ELIZABETH GILBERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
740 MCKINLEY AVE, KELLOGG, ID 83837-2693
(503) 867-5694
Mailing address
1110 E SAINT MARIES AVE, COEUR D ALENE, ID 83814-4355
(503) 867-5694
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
06/14/2024
Last updated
06/14/2024
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