Individual
MACKENZIE FORREST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1421 SE 4TH AVE FL 2, FORT LAUDERDALE, FL 33316-1900
(954) 766-4955
Mailing address
3405 W GABLES CT, TAMPA, FL 33609-2969
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
—
—
Other
Enumeration date
01/17/2024
Last updated
01/17/2024
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