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Individual

MACKIE JATELEE KAYEH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
6401 WILLOW LN APT 12, BROOKLYN CENTER, MN 55430-1908
(612) 261-7743
Mailing address
6401 WILLOW LN APT 12, BROOKLYN CENTER, MN 55430-1908
(612) 261-7743

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
NA
MN

Other

Enumeration date
04/19/2023
Last updated
04/19/2023
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