CARLOS MACKALL

NEWARK, DE
NPI1700496205
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: DE  1671)
Enumeration Date2020-08-09
Last Update Date2020-09-01
Business Address
CARLOS MACKALL
659 E CHESTNUT HILL RD
NEWARK, DE 19713-1827
Phone number: 252-438-4145
Mailing Address
CARLOS MACKALL
2701 N 16TH ST STE 316
PHOENIX, AZ 85006-1266
Phone number:
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