Mackinnon, Mary

Mackinnon, Mary is an individual health care provider with primary practice located at 130 Condor St , East Boston MA 02128-1305. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is her primary health care specialty. Mackinnon, Mary can be contacted via phone (617) 569-6560.

Contact Information

Primary practice address
130 Condor St East Boston MA 02128-1305
Phone: (617) 569-6560
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1578978540
LBN Legal business name Mackinnon, Mary
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2014
Last updated Jun 27th, 2014 - about 10 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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