Individual
MACKENZIE MCDERMOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1540 ROUTE 138, BUILDING 2 , SUITE 204C, WALL TOWNSHIP, NJ 07719-0771
(732) 795-0411
Mailing address
1540 ROUTE 138, BUILDING 2 , SUITE 204C, WALL TOWNSHIP, NJ 07719-2670
(732) 795-0411
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
03/21/2019
Last updated
03/28/2023
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