Nina S. Mackta, LICSW
NPI #1851493621 in Wakefield, Rhode Island
Provider Information
- NPI Number
- 1851493621
- Entity Type
- Individual
- Name
- Nina S. Mackta, LICSW
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Social Worker - Clinical
- Credential
- LICSW
- Enumeration Date
- Sep 2, 2006
- Last Updated
- Apr 11, 2008
Practice Location
- Address
- 40 WATCH HILL WAY
- City
- Wakefield
- State
- Rhode Island
- ZIP Code
- 02879-7692
- Phone
- (401) 792-3664
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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