Mackie Wellness LLC

NPI #1124601448 in Lebanon, Oregon

Provider Information

NPI Number: 1124601448
Entity Type: Organization
Organization Name: Mackie Wellness LLC
Primary Specialty: Social Worker - Clinical
Enumeration Date: May 4, 2021
Last Updated: May 4, 2021

Practice Location

Address: 701 N 5TH ST
City: Lebanon
State: Oregon
ZIP Code: 97355-9559
Phone: (458) 230-5248

Authorized Official

Name: KENNETH MACKIE
Title: PRESIDENT
Phone: (458) 230-5248

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X
Social Worker - Clinical — Clinical	1041C0700X	Primary

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