TARA NICOLE MACKIE

FONTANA, CA
NPI1730773490
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: CA  99719)
Enumeration Date2021-02-23
Last Update Date2021-02-23
Business Address
TARA NICOLE MACKIE LCSW
17284 SLOVER AVE # 105
FONTANA, CA 92337-7584
Phone number: 909-609-3848
Mailing Address
TARA NICOLE MACKIE LCSW
792 VISTA REAL ST
CORONA, CA 92879-7701
Phone number: 909-229-3640
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