KENNETH MACKIE

LEBANON, OR
NPI1619249158
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: OR  L7080)
Enumeration Date2012-01-30
Last Update Date2016-09-26
Business Address
-- KENNETH MACKIE LCSW
1600 S MAIN ST
LEBANON, OR 97355-3109
Phone number: 541-451-5932
Mailing Address
-- KENNETH MACKIE LCSW
701 N 5TH ST UNIT K2082
LEBANON, OR 97355-0059
Phone number: 530-262-0517
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