Individual
MACKENZIE DAWN ANDREW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
PO BOX 1087, BETHEL, AK 99559-1087
(907) 543-6730
Mailing address
PO BOX 1087, BETHEL, AK 99559-1087
(907) 543-6730
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
AK
Other
Enumeration date
08/24/2024
Last updated
08/24/2024
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