Individual
MACKENZIE GRIEPENSTROH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1301 JUDSON ST, EVANSVILLE, IN 47713-1454
(812) 435-8300
Mailing address
1301 JUDSON ST APT C, EVANSVILLE, IN 47713-1454
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
000016880
IN
Other
Enumeration date
03/21/2025
Last updated
03/21/2025
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