Mackenzie Suzanne Wockenfus

NPI #1508361460 in Mequon, Wisconsin

Provider Information

NPI Number: 1508361460
Entity Type: Individual
Name: Mackenzie Suzanne Wockenfus
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Mar 23, 2018
Last Updated: Mar 23, 2018

Practice Location

Address: 12075 CORPORATE PKWY STE 110
City: Mequon
State: Wisconsin
ZIP Code: 53092-2664
Phone: (877) 486-4140

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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