Individual
MRS. SALLY MACKENZIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, MSW
Contact information
Practice address
CALLE PLAZA SANTA CRUZ AN 6, ENCANTADA ANTILLANA, TRUJILLO ALTO, PR 00976
(787) 760-4960
Mailing address
CALLE PLAZA SANTA CRUZ AN 6, ENCANTADA ANTILLANA, TRUJILLO ALTO, PR 00976
(787) 760-4960
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
9305
PR
Other
Enumeration date
12/24/2007
Last updated
12/24/2007
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