Individual
JULIE MARIE MACKEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
403 KINGSBARN CT, DAYTON, NV 89403-8781
(775) 230-8695
Mailing address
403 KINGSBARN CT, DAYTON, NV 89403-8781
(775) 230-8695
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
61605
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
61605
SCHOOL PSYCHOLOGIST LICENSE
NV
Enumeration date
04/12/2017
Last updated
04/12/2017
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