MCKENZIE RAE MALLEN

SUMMERVILLE, SC
NPI1417484973
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy103TS0200X Psychologist, School
(Licence: SC  280059)
Enumeration Date2017-05-16
Last Update Date2018-03-17
Business Address
MCKENZIE RAE MALLEN
1175 CANE BAY BLVD
SUMMERVILLE, SC 29486-2396
Phone number: 843-899-1957
Mailing Address
MCKENZIE RAE MALLEN
1175 CANE BAY BLVD
SUMMERVILLE, SC 29486-2396
Phone number: