Individual
AMY MCKENZIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
309 LLEWELLYN AVE STE B, MCCOMB, MS 39648-2703
(601) 258-4514
Mailing address
1106 HAWTHORNE DR, MCCOMB, MS 39648-9552
(601) 258-4514
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
M10711
MS
Other
Enumeration date
10/24/2023
Last updated
10/24/2023
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