MACKENZIE ILENE MINARD

SAN LEANDRO, CA
NPI1538709548
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy104100000X Social Worker
(Licence: CA  132030)
Additional Taxonomies103K00000X Behavior Analyst
Enumeration Date2020-01-08
Last Update Date2025-08-15
Business Address
Miss MACKENZIE ILENE MINARD
198 JUANA AVE
SAN LEANDRO, CA 94577-4808
Phone number: 510-822-2915
Mailing Address
Miss MACKENZIE ILENE MINARD
30042 MISSION BLVD PO BOX #131
HAYWARD, CA 94544-4592
Phone number: 909-800-7108