| Carole Mackenzie Lcsw | |
|
674 Prospect Ave Hartford CT 06105-4288 | |
| (860) 231-7373 | |
| (860) 233-5736 |
| Full Name | Carole Mackenzie Lcsw |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 674 Prospect Ave, Hartford, Connecticut |
| Authorized Official Name and Position | Carole Holabird Mackenzie (LICENSED CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 8602317373 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carole Mackenzie Lcsw 674 Prospect Ave Hartford CT 06105-4288 Ph: (860) 231-7373 | Carole Mackenzie Lcsw 674 Prospect Ave Hartford CT 06105-4288 Ph: (860) 231-7373 |
| NPI Number | 1063812527 |
|---|---|
| Provider Enumeration Date | 09/02/2014 |
| Last Update Date | 11/04/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063812527 | NPI | - | NPPES |
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