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1972218444
MIKENZIE MCKIMMIE
FAYETTEVILLE, NC
NPI
1972218444
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NC P018601)
Enumeration Date
2023-01-19
Last Update Date
2023-01-19
Business Address
MIKENZIE MCKIMMIE LCSWA
2935 BREEZEWOOD AVE STE 103
FAYETTEVILLE, NC 28303-5498
Phone number: 910-491-1758
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Mailing Address
MIKENZIE MCKIMMIE LCSWA
2935 BREEZEWOOD AVE STE 103
FAYETTEVILLE, NC 28303-5498
Phone number: 910-491-1758
Copy
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