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1952009029
MACKENZIE LORRAINE JOHNSON
HALFMOON, NY
NPI
1952009029
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2023-02-20
Last Update Date
2023-02-20
Business Address
MACKENZIE LORRAINE JOHNSON
7 CORPORATE DR
HALFMOON, NY 12065-8612
Phone number: 518-400-2864
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Mailing Address
MACKENZIE LORRAINE JOHNSON
7 CORPORATE DR
HALFMOON, NY 12065-8612
Phone number: 518-400-2864
Copy
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