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1750809000
MACKENNA MARIE MINEHAN
NEW YORK, NY
NPI
1750809000
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Former Name
MACKENNA RUCCI
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY 095993)
Enumeration Date
2017-09-07
Last Update Date
2017-09-07
Business Address
MACKENNA MARIE MINEHAN LMSW
325 W 89TH ST APT 7
NEW YORK, NY 10024-2166
Phone number: 858-531-5673
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Mailing Address
MACKENNA MARIE MINEHAN LMSW
175 W 72ND ST
NEW YORK, NY 10023-3203
Phone number: 858-531-5673
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