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NPI Code Detail

MEDICARE: MACKENZIE THORNSBERRY

MEDICARE: MACKENZIE THORNSBERRY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial Worker

General Provider Information

NPI Number : 1518817956
Entity Type Code : Individual
Provider Name (Legal Business Name) : MACKENZIE THORNSBERRY
Provider Business Mailing Address
First Line : 830 N SUMMIT ST STE 2
Second Line :
City : TOLEDO
State : OH
Zip : 43604-1884
Country : US
Telephone Number : 419-693-9600
Fax Number :
Provider Business Practice Location Address
First Line : 830 N SUMMIT ST STE 2
Second Line :
City : TOLEDO
State : OH
Zip : 43604-1884
Country : US
Telephone Number : 419-693-9600
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/03/2026
Last Update Date : 02/03/2026

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Directions to “ MACKENZIE THORNSBERRY ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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