Mackie, Amanda Leatherman

Mackie, Amanda Leatherman is an individual health care provider with primary practice located at 306 Byron St , Mankato MN 56001-3846. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Mackie, Amanda Leatherman can be contacted via phone (507) 344-3360.

Contact Information

Primary practice address
306 Byron St Mankato MN 56001-3846
Phone: (507) 344-3360
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 17224 Minnesota

Profile Details

NPI number 1952522450
LBN Legal business name Mackie, Amanda Leatherman
Credentials LICSW
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2007
Last updated Jul 1st, 2010 - about 15 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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