MACKENZI KOUGH

TOOELE, UT
NPI1184306375
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
Additional Taxonomies172V00000X Community Health Worker
Enumeration Date2023-08-07
Last Update Date2023-11-10
Business Address
MACKENZI KOUGH
100 S 1000 W
TOOELE, UT 84074-4010
Phone number: 435-843-3520
Mailing Address
MACKENZI KOUGH
4460 S HIGHLAND DR STE 120
SALT LAKE CITY, UT 84124-3550
Phone number: 801-538-6155