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1851881379
MICHAEL WILLIAM VINCENT MACKIE
LOS ANGELES, CA
NPI
1851881379
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: CA PSY30000)
Enumeration Date
2018-05-10
Last Update Date
2023-12-29
Business Address
MICHAEL WILLIAM VINCENT MACKIE Ph.D
10700 SANTA MONICA BLVD STE 300
LOS ANGELES, CA 90025-6587
Phone number: 424-465-2840
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Mailing Address
MICHAEL WILLIAM VINCENT MACKIE Ph.D
10700 SANTA MONICA BLVD STE 300
LOS ANGELES, CA 90025-6587
Phone number:
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