Pherigo, Mackenzie R

Pherigo, Mackenzie R is an individual health care provider with primary practice located at 2148 Vadalabene Dr , Maryville IL 62062-5632. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Pherigo, Mackenzie R can be contacted via phone (618) 288-3100.

Contact Information

Primary practice address
2148 Vadalabene Dr Maryville IL 62062-5632
Phone: (618) 288-3100
Fax: (618) 288-3371
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 150.009882 Illinois
Behavioral Health & Social Service Providers / Clinical 1041C0700X 149.013008 Illinois

Profile Details

NPI number 1801002142
LBN Legal business name Pherigo, Mackenzie R
Credentials LCSW, CADC
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2007
Last updated Jun 18th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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