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1679196455
MACKENZIE WAYNE SCOTT-SACK
RICHLAND, WA
NPI
1679196455
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA CO61071424)
Enumeration Date
2020-05-27
Last Update Date
2024-04-29
Business Address
MACKENZIE WAYNE SCOTT-SACK SUDPT
1305 MANSFIELD ST STE 6
RICHLAND, WA 99352-3588
Phone number: 509-942-1624
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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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