Individual
CAROLE MACKENZIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
674 PROSPECT AVE, HARTFORD, CT 06105-4288
(860) 231-7373
(860) 233-5738
Mailing address
674 PROSPECT AVE, HARTFORD, CT 06105-4288
(860) 231-7373
(860) 233-5738
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
002083
CT
Other
Enumeration date
11/21/2014
Last updated
11/21/2014
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