Georginea L Mackie, INTERN MSW STUDENT
NPI #1225727670 in San Pablo, California
Provider Information
- NPI Number
- 1225727670
- Entity Type
- Individual
- Name
- Georginea L Mackie, INTERN MSW STUDENT
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Student in an Organized Health Care Education/Training Program
- Credential
- INTERN MSW STUDENT
- Enumeration Date
- May 2, 2023
- Last Updated
- Jul 12, 2023
Practice Location
- Address
- 13585 SAN PABLO AVENUE
- Address 2
- 1ST FLOOR
- City
- San Pablo
- State
- California
- ZIP Code
- 94806
- Phone
- (510) 942-4600
Specialties & Taxonomy Codes
| Specialty |
|---|
| Student in an Organized Health Care Education/Training Program |
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