Kristina Woodward-mackie MSW, LCSW

NPI 1780870998 - Social Worker - 1041C0700X

NPI Details
NPI 1780870998
Gender Female
Enumeration Date 09/20/2007
Last Updated 02/04/2011
Entity Type Individual
Active Over 9 years ago
Practice Location
9500 ETIWANDA AVE
RANCHO CUCAMONGA CA, 91739-9662, US
Phone (909) 463-5234
Fax
Business Location
9500 ETIWANDA AVE
RANCHO CUCAMONGA CA, 91739-9662, US
Phone (909) 463-5234
Fax
Toxanomy
Taxonomy Code 1041C0700X
License State California
License Number ASW 22155
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According to our database, Kristina Woodward-mackie MSW, LCSW NPI is 1780870998, taxonomy code is 1041C0700X and license number is ASW 22155, license state is located at California. Kristina Woodward-mackie MSW, LCSW physically located at 9500 Etiwanda Ave, Rancho Cucamonga CA, 91739-9662. NPI Number Kristina Woodward-mackie MSW, LCSW has the Individual type.

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1780870998 NPI number is provided on an as is basis without warranty of any kind. 1780870998 is maintained by the National Plan & Provider Enumeration System. The contents of Kristina Woodward-mackie MSW, LCSW are for informational purposes only.