Wallis, Mackenzie
Wallis, Mackenzie is an sole proprietor health care provider with primary practice located at 2355 Salzedo St Ste 311 , Coral Gables FL 33134-5061. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Wallis, Mackenzie can be contacted via phone (719) 321-2790.Contact Information
Primary practice address
2355 Salzedo St Ste 311
Coral Gables FL 33134-5061
Phone: (719) 321-2790
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | SW13508 | Florida |
Profile Details
| NPI number | 1275030611 |
|---|---|
| LBN Legal business name | Wallis, Mackenzie |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 11th, 2018 |
| Last updated | Apr 11th, 2018 - about 8 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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