Individual
MCKENZIE RAE MASSUCCI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
238 S MERIDIAN RD, YOUNGSTOWN, OH 44509-2925
(330) 318-3436
(330) 319-8800
Mailing address
238 S MERIDIAN RD, YOUNGSTOWN, OH 44509-2925
(330) 318-3436
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
APP-000246080
OH
Other
Enumeration date
05/23/2019
Last updated
08/06/2020
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