| Mackenzie Harris | |
|
6789 N Green Bay Ave Glendale WI 53209 | |
| (414) 292-3900 | |
| Not Available |
| Full Name | Mackenzie Harris |
|---|---|
| Speciality | Counselor - Professional |
| Location | 6789 N Green Bay Ave, Glendale, Wisconsin |
| Authorized Official Name and Position | Mackenzie Harris (PSYCHOLOGIST) |
| Authorized Official Contact | 4144553125 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mackenzie Harris P.o. Box 13214 Wauwatosa WI 53213-0214 Ph: (414) 455-3125 | Mackenzie Harris 6789 N Green Bay Ave Glendale WI 53209 Ph: (414) 292-3900 |
| NPI Number | 1790032316 |
|---|---|
| Provider Enumeration Date | 08/14/2012 |
| Last Update Date | 08/14/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790032316 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 4377-125 (Wisconsin) | Primary |
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