Individual
MS. JENNIFER GAYLE MACKIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9132 WEEPING HOLLOW AVE, LAS VEGAS, NV 89178-6231
(702) 513-9005
Mailing address
9132 WEEPING HOLLOW AVE, LAS VEGAS, NV 89178-6231
(702) 513-9005
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/31/2011
Last updated
10/31/2011
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