Individual provider · Type 1 NPI

Mackenzie Clark

Addiction (Substance Use Disorder) Registered Nurse · Ironton, OH

NPI number 1063148575 Active

Practice location

2111 S 7th St
Ironton, OH 45638-2538

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Registered Nurse Primary 163WA0400X512073 (OH)

Addiction (Substance Use Disorder) Registered Nurse: Definition to come...

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About NPI 1063148575

Mackenzie Clark's National Provider Identifier is 1063148575, issued on Jul 27, 2022. The primary taxonomy on file is Addiction (Substance Use Disorder) Registered Nurse (163WA0400X), and the practice location is in Ironton, OH. The record was last updated on Jul 27, 2022.