Organization
MACKENZIE HARRIS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MACKENZIE HARRIS PHD (PSYCHOLOGIST)
(414) 455-3125
Entity
Organization
Contact information
Practice address
6789 N GREEN BAY AVE, GLENDALE, WI 53209
(414) 292-3900
Mailing address
P.O. BOX 13214, WAUWATOSA, WI 53213-0214
(414) 455-3125
(262) 654-9333
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4377-125
WI
Other
Enumeration date
08/14/2012
Last updated
08/14/2012
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