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1093052649
CONNIE LOUISE MACKIE
COVINA, CA
NPI
1093052649
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2013-01-15
Last Update Date
2014-07-07
Business Address
-- CONNIE LOUISE MACKIE
540 S EREMLAND DR
COVINA, CA 91723-3186
Phone number: 626-966-1577
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Mailing Address
-- CONNIE LOUISE MACKIE
540 S EREMLAND DR
COVINA, CA 91723-3186
Phone number: 626-966-1577
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