MACKENZIE WAYNE SCOTT-SACK

RICHLAND, WA
NPI1679196455
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: WA  CO61071424)
Enumeration Date2020-05-27
Last Update Date2024-04-29
Business Address
MACKENZIE WAYNE SCOTT-SACK SUDPT
1305 MANSFIELD ST STE 6
RICHLAND, WA 99352-3588
Phone number: 509-942-1624
Mailing Address
MACKENZIE WAYNE SCOTT-SACK SUDPT
1305 MANSFIELD ST STE 6
RICHLAND, WA 99352-3588
Phone number: 509-942-1624
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