Individual
MRS. AMY MICHELLE BICHSEL PACHECO PINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2124 KINDLEWOOD DR, SOUTHAVEN, MS 38672-8623
(402) 871-7735
Mailing address
2124 KINDLEWOOD DR, SOUTHAVEN, MS 38672-8623
(402) 871-7735
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
007174
IA
1041C0700X
Clinical Social Worker
10162
MS
1041C0700X
Clinical Social Worker
Primary
126155
MA
1041C0700X
Clinical Social Worker
7961
TN
Other
Enumeration date
06/22/2009
Last updated
04/24/2023
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