Latysse Mckinzie-Mack
NPI #1194129635 in Chester, Pennsylvania
Provider Information
- NPI Number
- 1194129635
- Entity Type
- Individual
- Name
- Latysse Mckinzie-Mack
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker
- Enumeration Date
- Oct 13, 2014
- Last Updated
- Oct 13, 2014
Practice Location
- Address
- 2600 W 9TH ST
- City
- Chester
- State
- Pennsylvania
- ZIP Code
- 19013-2040
- Phone
- (610) 497-7600
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker |
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