Gangl, Mackenzie

Gangl, Mackenzie is an individual health care provider with primary practice located at 823 Maple St , Brainerd MN 56401-3770. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Gangl, Mackenzie can be contacted via phone (320) 584-4121.

Contact Information

Primary practice address
823 Maple St Brainerd MN 56401-3770
Phone: (320) 584-4121
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 16191 Minnesota

Profile Details

NPI number 1346517786
LBN Legal business name Gangl, Mackenzie
Credentials LICSW
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2011
Last updated Oct 20th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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