Individual
ANGELA MACKINNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, MSW
Contact information
Practice address
439 S UNION ST, SUITE 207A, LAWRENCE, MA 01843-2837
(978) 837-2631
Mailing address
439 S UNION ST, SUITE 207A, LAWRENCE, MA 01843-2837
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
219429
MA
Other
Enumeration date
09/27/2015
Last updated
09/27/2015
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