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Individual

BRIAN MACKEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PH.D.-P

Contact information

Practice address
1903 N HARRISON AVE, SUITE 101, CARY, NC 27513-2410
(919) 677-0101
(919) 677-0113
Mailing address
1903 N HARRISON AVE, SUITE 101, CARY, NC 27513-2410
(919) 677-0101
(919) 677-0113

Taxonomy

Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
102679
NC

Other

Enumeration date
02/28/2007
Last updated
07/08/2007
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