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1962285221
MAKENZIE MELLEY
KINGSTON, NY
NPI
1962285221
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY 33725)
Enumeration Date
2023-08-18
Last Update Date
2023-08-18
Business Address
MAKENZIE MELLEY
239 GOLDEN HILL LN
KINGSTON, NY 12401-6452
Phone number: 845-702-1317
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Mailing Address
MAKENZIE MELLEY
PO BOX 113
MODENA, NY 12548-0113
Phone number:
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