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Mackenzie K Haddox

Health Educator in Saint Louis, MO. Individual provider (NPI-1).

NPI number1649759366
StatusActive
Last updated in NPPESAug 13, 2018

Details

NPI
1649759366
Entity type
Individual (NPI-1)
Name
Mrs. Mackenzie K Haddox
Sex
Female
Sole proprietor
No
Enumeration date
Aug 13, 2018
Last updated
Aug 13, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
174H00000X Health Educator––Yes

Practice location

11960 Westline Industrial Dr Ste 232
Saint Louis, MO 63146-3209

Phone 314-579-0800

Mailing address

12 Southwinds Cir Apt 1
Washington, MO 63090-4546

Phone 636-221-0136

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