Individual
MACKENZIE LEE WESTERMEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
28 2ND ST NW, ORTONVILLE, MN 56278-1407
(320) 839-8322
(855) 867-8780
Mailing address
627 OTTO AVE, ORTONVILLE, MN 56278-1168
(320) 305-0645
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
23014
MN
Other
Enumeration date
09/15/2020
Last updated
04/12/2021
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