Individual
MACKENZIE MCCULLOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
150 W 22ND ST FL 8, NEW YORK, NY 10011-6557
(469) 772-9400
Mailing address
3611 DONIPHAN AVE, SAINT JOSEPH, MO 64507-1922
(816) 676-8506
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
—
—
Other
Enumeration date
11/15/2023
Last updated
11/15/2023
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