RYAN LEE MACKEY

DIXON, IL
NPI1346542776
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2010-11-17
Last Update Date2010-11-17
Business Address
-- RYAN LEE MACKEY B.A., MHP
325 ILLINOIS RT 2
DIXON, IL 61021-9118
Phone number: 815-284-6611
Mailing Address
-- RYAN LEE MACKEY B.A., MHP
1209 WASHINGTON AVE APT B2
DIXON, IL 61021-1174
Phone number:
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