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1700496205
CARLOS MACKALL
NEWARK, DE
NPI
1700496205
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: DE 1671)
Enumeration Date
2020-08-09
Last Update Date
2020-09-01
Business Address
CARLOS MACKALL
659 E CHESTNUT HILL RD
NEWARK, DE 19713-1827
Phone number: 252-438-4145
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Mailing Address
CARLOS MACKALL
2701 N 16TH ST STE 316
PHOENIX, AZ 85006-1266
Phone number:
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