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1275030611
MACKENZIE WALLIS
CORAL GABLES, FL
NPI
1275030611
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: FL SW13508)
Enumeration Date
2018-04-11
Last Update Date
2018-04-11
Business Address
MACKENZIE WALLIS LCSW
2355 SALZEDO ST STE 311
CORAL GABLES, FL 33134-5061
Phone number: 719-321-2790
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Mailing Address
MACKENZIE WALLIS LCSW
7540 SW 59TH CT APT 8
SOUTH MIAMI, FL 33143-5147
Phone number: 719-321-2790
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