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1043075096
CARLA SHAVONNE MCKENZIE
BLYTHEWOOD, SC
NPI
1043075096
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: SC 28311)
Enumeration Date
2024-02-19
Last Update Date
2024-02-19
Business Address
Ms. CARLA SHAVONNE MCKENZIE PMHNP-BC
749 S SAGE DROP RD
BLYTHEWOOD, SC 29016-9265
Phone number: 347-276-0901
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Mailing Address
Ms. CARLA SHAVONNE MCKENZIE PMHNP-BC
749 S SAGE DROP RD
BLYTHEWOOD, SC 29016-9265
Phone number: 347-276-0901
Copy
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