MACKENZIE PHERIGO, LCSW, CADC
Social Worker - Clinical
Active
Individual
NPI: 1801002142
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Social Worker | 104100000X | No | 150.009882 (IL) |
| Social Worker - Clinical | 1041C0700X | Yes | 149.013008 (IL) |
Frequently Asked Questions
NPI 1801002142 is the National Provider Identifier for MACKENZIE PHERIGO, LCSW, CADC, a Social Worker - Clinical provider located in Maryville, IL. This NPI was enumerated on May 15, 2007.
MACKENZIE PHERIGO, LCSW, CADC practices at 2148 VADALABENE DR, Maryville, IL 62062.
Quick Facts
- NPI
- 1801002142
- Type
- Individual
- Enumerated
- May 15, 2007
- Last Updated
- Jun 18, 2008
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