KENNETH MACKIE

CORVALLIS, OR
NPI1619249158
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: OR  L7080)
Enumeration Date2012-01-30
Last Update Date2025-07-09
Business Address
KENNETH MACKIE LCSW
4185 SW RESEARCH WAY
CORVALLIS, OR 97333-1783
Phone number: 541-766-6767
Mailing Address
KENNETH MACKIE LCSW
PO BOX 579
CORVALLIS, OR 97339-0579
Phone number: 541-766-6767