Individual
ARTHUR MAC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW-R
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
R024905
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00024905
—
NY
Enumeration date
01/02/2008
Last updated
04/09/2009
Update your record
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