Individual
ANNETTIA J MACKEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
6621 SANTA ISABEL ST UNIT 111, CARLSBAD, CA 92009-5958
(760) 814-7538
Mailing address
6621 SANTA ISABEL ST UNIT 111, CARLSBAD, CA 92009-5958
(760) 814-7538
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
35005
CA
Other
Enumeration date
02/25/2013
Last updated
02/25/2013
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