Organization
CHAMISA MACKENZIE, LMSW, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN CHAMISA MACKENZIE LMSW (OWNER)
(734) 649-4114
Entity
Organization
Contact information
Practice address
202 E WASHINGTON ST STE 401, ANN ARBOR, MI 48104-2017
(734) 649-4114
Mailing address
2011 HELEN ST, ANN ARBOR, MI 48103-2478
(734) 649-4114
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
MI
Other
Enumeration date
01/26/2018
Last updated
09/14/2021
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