Individual
MR. MICHAEL WESLEY MACK JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
6605 ABERCORN ST STE 101F, SAVANNAH, GA 31405-5896
(912) 412-2532
Mailing address
6605 ABERCORN ST STE 101F, SAVANNAH, GA 31405-5896
(912) 412-2532
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW004637
GA
Other
Enumeration date
10/12/2012
Last updated
10/23/2020
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