Individual
DEANNA MACKLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1500 ALMONESSON RD STE 442, DEPTFORD, NJ 08096-5259
(856) 842-7029
Mailing address
256 LA CASCATA, CLEMENTON, NJ 08021-4919
(856) 842-7029
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
01/20/2014
Last updated
08/31/2023
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