Individual
MACKENZIE GRACE WALTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS/CAGS
Contact information
Practice address
202 KEELEY ST, EDINBURGH, IN 46124-1383
(812) 526-2681
Mailing address
760 SALT CREEK RD, NASHVILLE, IN 47448-8500
(585) 545-0958
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
000044987
IN
Other
Enumeration date
08/22/2025
Last updated
08/22/2025
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